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Monitoring and Antagonism of Neuromuscular Blockade

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"last update: 7 July  2026"                                                                                          Download Guideline

- Clinical Indicators for Monitoring

-   Percentage of patients monitored with quantitative neuromuscular blockade

Numerator: Number of patients monitored with quantitative NMB

      Denominator: Total number of patients who received NMB agents

Percentage of patients with a documented train-of-four ratio greater than or equal to 0.9

Numerator: Number of patients with a documented train-of-four ratio greater than or equal to 0.9 Denominator: Total number of patients who received NMB agents

-   Incidence of patients with residual paralysis in the PACU

Numerator: Number of patients with residual paralysis in the PACU

      Denominator: Total number of patients who received NMB agent

-   Incidence of reintubation associated with residual paralysis

Numerator: Number of reintubated patients at the PACU associated with residual paralysis

      Denominator: Total number of patients who received NMB agent

Incidence of postoperative pulmonary complications

Numerator: Number of patients who have pulmonary complications within 7 days post recovery

      Denominator: Total number of patients who received NMB agent