{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T22:10:52Z","timestamp":1790892652572,"version":"4.1.0"},"reference-count":14,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2024,4]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Quantitative train-of-four (TOF) monitoring has recently been shown to be feasible in infants and children using a novel electromyography (EMG)-based monitor with a pediatric-sized self-adhesive sensor. However, placement of the sensor and initiation of TOF monitoring may require additional time in the operating room (OR), delaying workflow and the time to induction of anesthesia. The current study evaluates the feasibility of placing the self-adhesive sensor in the preoperative holding area in pediatric patients before arrival to the OR.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Consented pediatric patients undergoing inpatient surgery requiring the administration of NMBAs were enrolled. The EMG electrode was placed along the ulnar nerve on the volar aspect of the distal forearm to provide neurostimulation. After the induction of anesthesia, monitoring was initiated and TOF recording started before the administration of the NMBA. A Likert score (0-10) was used to assess ease of placement, tolerability of the monitor during the preoperative period, and its ability to generate a recorded response in the OR.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      The final study cohort included 40 patients with a median age of 3.7 years. Fourteen patients (35%) pulled off the sensor before arrival to the OR and 26 patients (65%) arrived at the OR with the sensor intact and functioning. Older children were more likely to maintain the sensor until arrival to the OR compared to younger patients (median age of 5.24 versus 1 year,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.0521). A median age of 3.7 years correlated with an 80% chance of arriving in the OR with the sensor intact. Application ease and tolerance of the sensor were higher in the group that maintained the sensor until OR arrival.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>In patients more than 4 years of age, placement of the self-adhesive sensor for EMG-based TOF monitoring may be feasible. However, in younger patients, additional interventions may be required to achieve a similar success rate.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/sja.sja_864_23","type":"journal-article","created":{"date-parts":[[2024,3,14]],"date-time":"2024-03-14T02:00:55Z","timestamp":1710381655000},"page":"205-210","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":3,"title":["Tolerance to preoperative placement of electrodes for neuromuscular monitoring using the Tetragraph\u2122"],"prefix":"10.4103","volume":"18","author":[{"given":"Leah M.","family":"Espinal","sequence":"first","affiliation":[{"name":"Heritage College of Osteopathic Medicine - Dublin Campus, Dublin, Ohio and Ohio University, Athens, Ohio, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sidhant","family":"Kalsotra","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Pain Medicine, Nationwide Children\u2019s Hospital, Columbus, Ohio, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julie","family":"Rice-Weimer","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Pain Medicine, Nationwide Children\u2019s Hospital, Columbus, Ohio, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sibelle A. Yemele","family":"Kitio","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Pain Medicine, Nationwide Children\u2019s Hospital, Columbus, Ohio, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joseph D.","family":"Tobias","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Pain Medicine, Nationwide Children\u2019s Hospital, Columbus, Ohio, USA"},{"name":"Department of Anesthesiology and Pain Medicine, The Ohio State University College of Medicine, Columbus, Ohio, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2024,3,14]]},"reference":[{"key":"R1-20260504","doi-asserted-by":"crossref","first-page":"173","DOI":"10.1097\/ALN.0000000000001409","article-title":"Current status of neuromuscular reversal and monitoring: Challenges and opportunities","volume":"126","author":"Brull","year":"2017","journal-title":"Anesthesiology"},{"key":"R2-20260504","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1213\/ANE.0b013e3181e1d94c","article-title":"Evidence-based management of neuromuscular block","volume":"111","author":"Viby-Mogensen","year":"2010","journal-title":"Anesth Analg"},{"issue":"Suppl 1","key":"R3-20260504","doi-asserted-by":"crossref","first-page":"16","DOI":"10.1111\/anae.13738","article-title":"Conceptual and technical insights into the basis of neuromuscular monitoring","volume":"72","author":"Naguib","year":"2017","journal-title":"Anaesthesia"},{"key":"R4-20260504","doi-asserted-by":"crossref","first-page":"558","DOI":"10.1097\/ALN.0000000000003950","article-title":"Quantitative twitch monitoring: What works best and how do we know?","volume":"135","author":"Bowdle","year":"2021","journal-title":"Anesthesiology"},{"key":"R5-20260504","doi-asserted-by":"crossref","first-page":"464","DOI":"10.1213\/ANE.0000000000002387","article-title":"Neuromuscular monitoring in the perioperative period","volume":"126","author":"Murphy","year":"2018","journal-title":"Anesth Analg"},{"key":"R6-20260504","doi-asserted-by":"crossref","first-page":"323","DOI":"10.1213\/ANE.0000000000000261","article-title":"The implementation of quantitative electromyographic neuromuscular monitoring in an academic anesthesia department","volume":"119","author":"Todd","year":"2014","journal-title":"Anesth Analg"},{"key":"R7-20260504","doi-asserted-by":"crossref","first-page":"412","DOI":"10.4103\/sja.sja_326_22","article-title":"Feasibility of intraoperative quantitative neuromuscular blockade monitoring in children using electromyography","volume":"16","author":"Owusu-Bediako","year":"2022","journal-title":"Saudi J Anaesth"},{"key":"R8-20260504","doi-asserted-by":"crossref","first-page":"378","DOI":"10.4103\/sja.sja_160_23","article-title":"Intraoperative electromyographic monitoring in children using a novel pediatric sensor","volume":"17","author":"Kalsotra","year":"2023","journal-title":"Saudi J Anaesth"},{"key":"R9-20260504","doi-asserted-by":"crossref","first-page":"1421","DOI":"10.1213\/ANE.0000000000005213","article-title":"Ease of application of various neuromuscular devices for routine monitoring","volume":"132","author":"Renew","year":"2021","journal-title":"Anesth Analg"},{"key":"R10-20260504","doi-asserted-by":"crossref","first-page":"1518","DOI":"10.1213\/ANE.0000000000005386","article-title":"A survey of the Society for Pediatric Anesthesia on the use, monitoring, and antagonism of neuromuscular blockade","volume":"132","author":"Faulk","year":"2021","journal-title":"Anesth Analg"},{"key":"R11-20260504","doi-asserted-by":"crossref","first-page":"377","DOI":"10.1016\/j.jbi.2008.08.010","article-title":"Research electronic data capture (REDCap) \u2013 A metadata-driven methodology and workflow process for providing translational research informatics support","volume":"42","author":"Harris","year":"2009","journal-title":"J Biomed Inform"},{"key":"R12-20260504","doi-asserted-by":"crossref","first-page":"103208.","DOI":"10.1016\/j.jbi.2019.103208","article-title":"REDCap Consortium. 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