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Table 4 Sensitivity Analyses - For scenario where 100% of patients are verified to have full neuromuscular recovery (TOF ratio ≥ 0.9) prior to extubation in the OR

From: A discrete event simulation model of clinical and operating room efficiency outcomes of sugammadex versus neostigmine for neuromuscular block reversal in Canada

 

Number of OR minutes saved per day

% of days all procedures are completed within the regular OR day

Procedures cancelled due to lack of OR time

Paid hours of staff over-time

Primary Analysisa

 Neostigmine

40.6%

3.5

57.8

 Sugammadex

62

72.7%

1.1

24.3

Cancel if < 50% of procedures can be completed within the regular OR day

 Neostigmine

39.5%

6.8

36.0

 Sugammadex

62

73.7%

1.9

16.5

Never cancel a procedure due to lack of OR time

 Neostigmine

40.4%

0.0

92.0

 Sugammadex

63

74.3%

0.0

31.4

Fully move up next procedure if a cancellation occurs

 Neostigmine

63.2%

2.4

32.3

 Sugammadex

62

85.2%

0.7

12.9

Assume 15% of procedures are emergency cases

 Neostigmine

19.8%

16.1

108.5

 Sugammadex

57

45.0%

9.6

66.6

Sugammadex OR time saved at lower bound of 95% CI in trials (2 min)

 Neostigmine

40.6%

3.5

57.8

 Sugammadex

9

44.9%

2.8

54.0

Sugammadex OR time saved at lower bound of 95% CI in trials (26 min)

 Neostigmine

40.6%

3.5

57.8

 Sugammadex

116

92.2%

0.3

5.8

  1. CI Confidence interval OR Operating room
  2. aIn the primary analysis, procedures are cancelled if they cannot begin within the regular OR day, when a procedure is cancelled for any reason, the next procedure is not moved up, and no emergency cases occur