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The effect of hand dominance on neuromuscular monitoring at the adductor pollicis muscle

BACKGROUND: Neuromuscular blockade of the adductor pollicis muscle may be influenced by hand dominance resulting in conflicting results of several studies. The current study examined whether hand dominance could influence the measurements of neuromuscular blockade with acceleromyography at the adduc...

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Autores principales: Jeong, Ji Seon, Kim, Kyo Sang, Lee, Hee Jong, Shim, Jae Chul, Lee, Jong Chul, Lee, Jeoung Hyuk
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Korean Society of Anesthesiologists 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3726843/
https://www.ncbi.nlm.nih.gov/pubmed/23904936
http://dx.doi.org/10.4097/kjae.2013.65.1.33
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author Jeong, Ji Seon
Kim, Kyo Sang
Lee, Hee Jong
Shim, Jae Chul
Lee, Jong Chul
Lee, Jeoung Hyuk
author_facet Jeong, Ji Seon
Kim, Kyo Sang
Lee, Hee Jong
Shim, Jae Chul
Lee, Jong Chul
Lee, Jeoung Hyuk
author_sort Jeong, Ji Seon
collection PubMed
description BACKGROUND: Neuromuscular blockade of the adductor pollicis muscle may be influenced by hand dominance resulting in conflicting results of several studies. The current study examined whether hand dominance could influence the measurements of neuromuscular blockade with acceleromyography at the adductor pollicis. METHODS: The acceleromyographic responses from 0.6 mg/kg of rocuronium were monitored supramaximally in both hands in 31 patients after induction of anesthesia. Onset, maximum effect, and offset of rocuronium were measured and compared in both hands. The train-of-four (TOF) ratios to 0.9 were recorded in all patients. RESULTS: In total, 27 patients were right-handed and 4 patients were left-handed. The mean supramaximal threshold or initial TOF ratio was not different between dominant and nondominant hands. No statistically significant differences were found between 716 paired TOF ratios in both hands. A correlation was seen between the dominant and nondominant hand (Nondominant = 0.931·Dominant + 1.714, R = 0.929). The analysis by the Bland-Altman plot showed an excellent agreement with a bias of 1.6% and limits of agreement of -21.2 to 24.5%. CONCLUSIONS: Dominant and nondominant hands can be used interchangeably for neuromuscular monitoring at the adductor pollicis.
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spelling pubmed-37268432013-07-31 The effect of hand dominance on neuromuscular monitoring at the adductor pollicis muscle Jeong, Ji Seon Kim, Kyo Sang Lee, Hee Jong Shim, Jae Chul Lee, Jong Chul Lee, Jeoung Hyuk Korean J Anesthesiol Clinical Research Article BACKGROUND: Neuromuscular blockade of the adductor pollicis muscle may be influenced by hand dominance resulting in conflicting results of several studies. The current study examined whether hand dominance could influence the measurements of neuromuscular blockade with acceleromyography at the adductor pollicis. METHODS: The acceleromyographic responses from 0.6 mg/kg of rocuronium were monitored supramaximally in both hands in 31 patients after induction of anesthesia. Onset, maximum effect, and offset of rocuronium were measured and compared in both hands. The train-of-four (TOF) ratios to 0.9 were recorded in all patients. RESULTS: In total, 27 patients were right-handed and 4 patients were left-handed. The mean supramaximal threshold or initial TOF ratio was not different between dominant and nondominant hands. No statistically significant differences were found between 716 paired TOF ratios in both hands. A correlation was seen between the dominant and nondominant hand (Nondominant = 0.931·Dominant + 1.714, R = 0.929). The analysis by the Bland-Altman plot showed an excellent agreement with a bias of 1.6% and limits of agreement of -21.2 to 24.5%. CONCLUSIONS: Dominant and nondominant hands can be used interchangeably for neuromuscular monitoring at the adductor pollicis. The Korean Society of Anesthesiologists 2013-07 2013-07-19 /pmc/articles/PMC3726843/ /pubmed/23904936 http://dx.doi.org/10.4097/kjae.2013.65.1.33 Text en Copyright © the Korean Society of Anesthesiologists, 2013 http://creativecommons.org/licenses/by-nc/3.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Clinical Research Article
Jeong, Ji Seon
Kim, Kyo Sang
Lee, Hee Jong
Shim, Jae Chul
Lee, Jong Chul
Lee, Jeoung Hyuk
The effect of hand dominance on neuromuscular monitoring at the adductor pollicis muscle
title The effect of hand dominance on neuromuscular monitoring at the adductor pollicis muscle
title_full The effect of hand dominance on neuromuscular monitoring at the adductor pollicis muscle
title_fullStr The effect of hand dominance on neuromuscular monitoring at the adductor pollicis muscle
title_full_unstemmed The effect of hand dominance on neuromuscular monitoring at the adductor pollicis muscle
title_short The effect of hand dominance on neuromuscular monitoring at the adductor pollicis muscle
title_sort effect of hand dominance on neuromuscular monitoring at the adductor pollicis muscle
topic Clinical Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3726843/
https://www.ncbi.nlm.nih.gov/pubmed/23904936
http://dx.doi.org/10.4097/kjae.2013.65.1.33
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