Assessing residual XXXX using acceleromyography can be deceptive in postoperative awake @entity1 .

@entity1 @entity4094 @entity3370
Postoperative awake @entity1 may have significant residual @entity4094 . In awake @entity1 , the results of accelerometry are affected by extra movements to which the thumb may be subject. In this study, we evaluated the repeatability of @entity3370 ( @entity3370 ) ratio using acceleromyography in 253 @entity1 recovering from anesthesia. Immediately after arrival in the postanesthesia care unit, the ulnar nerve was stimulated with @entity3370 stimulation. The evoked response at the thumb was measured by the @entity3370 -Watch apparatus. The current intensity was 30 mA. Two @entity3370 stimulations were applied and recorded at 30-s intervals. A Bland-Altman test was used. The Kappa (kappa) test for clinical agreement between the two measurements was also calculated according to the presence or absence of a residual @entity4094 , defined as a @entity3370 ratio <0.9. According to the presence of a residual @entity4094 , the paired @entity3370 ratios were discordant in 61 @entity1 (24%; 95% confidence interval, 21%-27%). The kappa test indicated a moderate agreement (k = 0.47). We demonstrated that accelerometry as used in this study is not always accurate. Two isolated acceleromyograph @entity3370 ratios are not an accurate representation of the neuromuscular status of the @entity1 recovering from anesthesia. IMPLICATIONS: Clinicians should be aware that acceleromyography as used in this study does not always provide precise @entity3370 ratio measurements. Two isolated acceleromyograph @entity3370 ratios are not an accurate representation of the neuromuscular status of the @entity1 recovering from anesthesia.
