TetraGraph in Rocuronium Infusions
Train-of-four Monitoring Using the TetraGraph Neuromuscular Transmission Monitor to Evaluate Rocuronium Infusion Requirements During Major Neurosurgical and Surgical Procedures
1 other identifier
interventional
50
1 country
1
Brief Summary
This is a prospective, non-blinded study to evaluate rocuronium infusion requirements using the TetraGraph Neuromuscular Transmission Monitor during surgical procedures in patients less than 18 yrs. of age.
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 Sep 2024
Shorter than P25 for not_applicable surgery
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
June 19, 2024
CompletedFirst Posted
Study publicly available on registry
June 25, 2024
CompletedStudy Start
First participant enrolled
September 12, 2024
CompletedPrimary Completion
Last participant's last visit for primary outcome
April 24, 2025
CompletedStudy Completion
Last participant's last visit for all outcomes
April 24, 2025
CompletedResults Posted
Study results publicly available
May 13, 2026
CompletedMay 13, 2026
January 1, 2026
7 months
June 19, 2024
March 31, 2026
April 21, 2026
Conditions
Outcome Measures
Primary Outcomes (3)
Rocuronium Bolus Dose
Amount of rocuronium administered in a bolus dose during induction of anesthesia.
During the surgery (2-8 hrs.)
Rocuronium Infusion Dose
The amount of rocuronium given by continuous infusion in mg/kg/hr to maintain one twitch of the train of four (TOF)
During surgery (2-8 hrs.)
Maximum Dose of Rocuronium
The maximum dose of rocuronium administered by a continuous infusion per patient to maintain one twitch of the train of four (TOF)
During the surgery (2-8 hrs.)
Secondary Outcomes (4)
Rocuronium Infusion Time
During the surgery (2-8 hrs.)
Rocuronium Rescue Boluses
During the surgery (2-8 hrs.)
Anesthesia Time
During the surgery (2-8 hrs.)
Surgical Time
During the surgery (2-8 hrs.)
Study Arms (1)
Rocuronium infusion
EXPERIMENTALPatients who are scheduled for elective, urgent or emergent surgery requiring the continuous infusion of the neuromuscular blocking agent, rocuronium.
Interventions
etraGraph 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:
- Patients less than 18 years of age
- American Society of Anesthesiologists classification (ASA) 1-4
- Patients undergoing a surgical procedure with general anesthesia and requiring the continuous administration of rocuroniuim
You may not qualify if:
- Patients less than 28 days old
- Patients with history of a progressive or degenerative peripheral neurologic or neuropathic disorder
- 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
Results Point of Contact
- Title
- Dr. Joseph Tobias
- Organization
- Nationwide Children's Hospital
Publication Agreements
- PI is Sponsor Employee
- Yes
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 19, 2024
First Posted
June 25, 2024
Study Start
September 12, 2024
Primary Completion
April 24, 2025
Study Completion
April 24, 2025
Last Updated
May 13, 2026
Results First Posted
May 13, 2026
Record last verified: 2026-01