Provider Variability in the Use of Neuromuscular Blocking Drugs and Reversal

Completed

Conditions studied: Neuromuscular Blockade, Residual Curarisation, Postoperative, Surgery Under General Anaesthesia

In brief

The use of neuromuscular blocking agents during surgery is associated with postoperative respiratory complications and increased risk of readmission to the hospital following ambulatory surgery. Understanding the clinical behavior of providers is essential in devising and assessing quality improvement projects since it is primarily individuals who determine the utilization of neuromuscular blocking drugs and reversal agents, not institutions. Therefore, the primary objective of this study is to determine the variability between individual anesthesia providers (attending physician, resident, nurse anesthetists) in the use of neuromuscular blocking drugs and reversal agents, using advanced statistical methods to adjust for differences in patient and procedure case mix. The investigators hypothesize that variance between individual anesthesia providers in the use of neuromuscular blocking drugs and reversal agents differs depending on provider type.

Key facts

Study ID

NCT03585348

Run by

Beth Israel Deaconess Medical Center

People needed

265537

Starts

2018-06-29

Expected to finish

2021-03-31

Last updated by the study team

2021-08-25

Who can join

Age: 18 and older. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• 18 years of age or older
• Non-cardiac surgical procedure
• Endotracheally intubated for surgery and extubated at the end of the case

You may not qualify if…

• American Society of Anesthesiologists (ASA) Classification Status of 5 or 6
• Other surgery within a month prior to the procedure considered
• Missing covariates

Where it is running

• Massachusetts General Hospital — Boston, Massachusetts, United States
• Beth Israel Deaconess Medical Center — Boston, Massachusetts, United States

Full record on ClinicalTrials.gov

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