TOF Monitoring Using the TetraGraph in Patients Less Than 1 Year of Age
Train-of-four Monitoring Using the Tetragraph Neuromuscular Transmission Monitor and Comparison to Standard (Visual) Train-of-four Assessment With a Peripheral Nerve Stimulator in Patients Less Than 1 Year of Age.
1 other identifier
interventional
50
1 country
1
Brief Summary
The primary objective of this study is to evaluate the efficacy of train-of-four (TOF) monitoring using the TetraGraph Neuromuscular Transmission Monitor in pediatric patients less than 1 year of age and when feasible to compare it to standard TOF monitoring using a qualitative monitor.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for not_applicable surgery
Started Jun 2024
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
June 10, 2024
CompletedStudy Start
First participant enrolled
June 11, 2024
CompletedFirst Posted
Study publicly available on registry
June 13, 2024
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 31, 2025
CompletedStudy Completion
Last participant's last visit for all outcomes
December 31, 2025
CompletedAugust 24, 2025
August 1, 2025
1.6 years
June 10, 2024
August 19, 2025
Conditions
Outcome Measures
Primary Outcomes (1)
EMG changes
Changes in the amplitude of the evoked response of the muscles.
During the surgery
Study Arms (1)
TetraGraph (TM) NMT Monitor
EXPERIMENTALTetraGraph is a unique, EMG-based portable device for quantitative (objective) monitoring of neuromuscular function. It is a precise and easy to use tool for monitoring depth of block, ensuring adequate recovery of muscle function, and aiding the clinician to reduce the incidence of residual block.
Interventions
TetraGraph is a unique, EMG-based portable device for quantitative (objective) monitoring of neuromuscular function. It is a precise and easy to use tool for monitoring depth of block, ensuring adequate recovery of muscle function, and aiding the clinician to reduce the incidence of residual block.
Eligibility Criteria
You may qualify if:
- ASA 1-4
- ≤ 1 year of age
- undergoing a surgical procedure with general anesthesia and requiring the administration of an NMBA
You may not qualify if:
- Patients less than 28 days old
- Patients with history of a peripheral neurologic or neuropathic disorder
- Patients in whom the upper extremity cannot be used for TOF monitoring
- Patients undergoing a surgical procedure in which neuromuscular blockade is not required
- Edematous patients
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Joseph D. Tobiaslead
Study Sites (1)
Nationwide Children's Hospital
Columbus, Ohio, 43205, United States
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NA
- Masking
- NONE
- Purpose
- DIAGNOSTIC
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR INVESTIGATOR
- PI Title
- Chief, Dept. of Anesthesiology & Pain Medicine
Study Record Dates
First Submitted
June 10, 2024
First Posted
June 13, 2024
Study Start
June 11, 2024
Primary Completion
December 31, 2025
Study Completion
December 31, 2025
Last Updated
August 24, 2025
Record last verified: 2025-08