APSF Technology Education Initiative (TEI) : Quantitative Neuromuscular Monitoring (QNM)
| Table of Contents |
This quantitative neuromuscular monitoring (QNM) course consists of six topics designed to empower the anesthesia professional with the knowledge required to safely and effectively use QNM. The QNM course is largely aligned with the ASA 2023 Practice Guidelines for Monitoring and Antagonism of Neuromuscular Blockade. The six topics are: 1) Introduction to QNM, 2) Obtaining Baseline Train-of-Four Ratio, 3) Qualitative vs Quantitative Neuromuscular Assessment of Blockade Depth, 4) Achieving and Monitoring Intubating Conditions, 5) QNM During Maintenance and 6) QNM During Antagonism and Recovery from NMB. Each topic is designed for about a 15 minute interaction but the motivated learner is encouraged to utilize the simulation platform to explore different strategies and reinforce the learning. The topics are designed to be followed in sequence but do not need to be done at the same time. The course is free of charge to all anesthesia professionals; a free guest login is required for non-ASA members.
- Click here to take the Quantitative Neuromuscular Monitoring course on the ASA website
(This link navigates away from the APSF website to the ASA website to sign-in and access the course.)
Non-ASA members can create a Guest account at no charge. ASA members use your member login credentials.
ADDITIONAL RESOURCES ON QUANTITATIVE NEUROMUSCULAR MONITORING
- Monitoring Depth of Neuromuscular Blockade
by Steven Haberkorn, BA; Debra J Faulk, MD
Residual neuromuscular blockade is frequent in anesthesia practice and can lead to adverse outcomes. This keyword summary reviews the problem of residual weakness, the ways in which we can subjectively and objectively assess the neuromuscular junction for adequate return of strength, and summarizes recommendations in the 2023 ASA practice guidelines for monitoring and antagonism of neuromuscular blockade.
Links to QNM Devices Used in US
Blink
https://www.blinkdc.com/twitchview-user-guide
Dräger
https://www.draeger.com/Products/Content/tofscan-pi-9017131-en-us-1904-1.pdf
GE
https://clinicalview.gehealthcare.com/video/emg-based-nmt-monitoring-ge-healthcare-solution
Nihon Kohden
https://us.nihonkohden.com/products/smart-cable-nmt-pod/
Philips
Senzime
https://www.senzime.com/en/tetragraph
Xavant
https://www.xavant.com/