What are the recommendations for Quantitative Neuromuscular Monitoring?

The ASA Guideline recommends Quantitative Train of Four or QTOF monitoring when administering a paralytic.  The ASA Guideline indicates that you should only use Neostigmine when the patient has a TOF ration >40%.  A QTOF monitor is required to know when you are >40% so Quantitative TOF monitoring is needed to continue using Neostigmine as … Read more

Qualitative v Quantitative Monitoring: Is one superior? What’s the difference? Why does it matter?

The Quantitative Train of Four vs Subjective or Qualitative TOF neuromuscular monitoring study attached shows Quantitative TOF monitoring promoting a positive clinical practice change.  Quantitative TOF monitoring may be the greatest tool to use to safely monitor paralytic and reverse anesthesia patients safely.  The study tables show when using a traditional Peripheral Nerve Stimulator or … Read more

Stimpod 450X EMG: The Gold Standard for Quantitative Train-of-Four Monitoring

The linked study was released 10/2/2023 and validates the Xavant Stimpod 450X for neuromuscular blockade monitoring, proven in a recent study to match the gold standard in QTOF accuracy as having the most accurate EMG tested to date.  The study compared the Stimpod 450X EMG or Electromyography to MMG or Mechanomyography.  The results stated:  “The … Read more

Is Your Organization Maximizing Patient and Staff Safety and Minimizing Liability in the GI Endoscopy Suite?

BY RENE MIGUEL GONZALEZ, MD, ANESTHESIOLOGIST, STAFFORD TOWNSHIP, NJ Patient Safety Anesthesiology patient safety literature(1,2) clearly indicates that the majority of medical malpractice lawsuits arising from GI endoscopies are a result of respiratory complications, specifically hypoxia (inadequate, dangerously low blood oxygen levels). Hypoxia during endoscopy can result in prolongations, delays and cancellations of procedures, and … Read more

Selecting the right blood/fluid warmer

Selecting the right blood/fluid warmer for your organization is a critical decision. Nowadays, due to multiple recent recalls of aluminum warmers — that according to the FDA’s warning their aluminum leaching levels “may cause serious adverse events including death”– decisionmakers should be fully aware of what’s inside their warmers of choice. The last thing you … Read more

An Evolving New Paradigm in Blood Warming: “A Bridge To Rapid Infusers”

QINFLOW WARRIOR FROM BELL MEDICAL Initially created on JANUARY 15, 2022 BY ARIEL KATZ, CEO QINFLOW Rapid infusers are a great option for treating patients with severe hemorrhage. However, they require significant commitment from the hospitals: they are expensive to purchase, expensive to operate, and expensive to maintain. As importantly, they require significant ongoing investment in training so … Read more

Good News Line is OPEN!

Good news line is OPEN for Air Purification! Lindsay Public School system in Oklahoma orders $284,000 worth of Novaerus Nano Strike air purifiers for school district.  They are installing 111 NV900s for their classrooms and 22 NV200s for offices and 4 NV400s for their practice gym and 4 Defend 1050s for their large gym and … Read more

Good News Line is OPEN!

Northeast Georgia Medical Center in Gainsville, GA has ordered and received 10 Warrior AC systems from Bell Medical and QinFlow for use in their operating rooms.  This is our third order in the last 3 months for Warrior fluid warmers.  Children’s of Alabama, Birmingham, AL purchased 8 Warriors including the Warrior Hybrid and Warrior AC … Read more