Qualitative vs. Quantitative Train of Four

Author

Caleb CulbreathFollow

Date of Award

Spring 5-2024

Document Type

DNP Project

Project Team Faculty Member

Dr. Mary Zerlan

Keywords

Neuromuscular Blockade, Peripheral Nerve Stimulation, Qualitative Monitoring, Quantitative Monitoring, Residual Paralysis

Abstract

The growing body of evidence linking residual neuromuscular blockade (NMB) to postoperative complications has underscored the need to integrate quantitative neuromuscular monitoring techniques into anesthesia practice. This study, conducted at a tertiary care center in southern Illinois, investigates the gap between current clinical practices and the latest evidence advocating for objective monitoring. The study utilized a non-experimental pretest-posttest design to evaluate an educational intervention's effectiveness in increasing anesthesia providers' knowledge of quantitative neuromuscular monitoring techniques and enhancing their awareness of the incidence and clinical implications of postoperative residual neuromuscular blockade. Analysis of the pretest and post-test responses revealed significant improvements in providers' knowledge, particularly in understanding the prevalence of residual neuromuscular blockade and the clinical relevance of the TOFR (Train-of-Four Ratio). However, gaps remained in participants' understanding of subjective assessment methods and factors affecting the accuracy of quantitative monitoring. Nonetheless, these findings highlight the critical role of educational interventions in advancing neuromuscular monitoring practices. Future initiatives should address economic and technical barriers to implementation and incorporate ongoing educational efforts to promote long-term practice change.

Recommended Citation

Culbreath, Caleb, "Qualitative vs. Quantitative Train of Four" (2024). Doctor of Nursing Practice Projects. 302.
https://spark.siue.edu/dnpprojects/302

Download Full Text Above