Andrew Bowdle, Logan Bussey, Kelly Michaelsen, Srdjan Jelacic, Bala Nair, Kei Togashi, Justin Hulvershorn
BACKGROUND: Train-of-four twitch monitoring can be performed using palpation of thumb movement, or by the use of a more objective quantitative monitor, such as mechanomyography, acceleromyography, or electromyography. The relative performance of palpation and quantitative monitoring for determination of the train-of-four ratio has been studied extensively, but the relative performance of palpation and quantitative monitors for counting train-of-four twitch responses has not been completely described...
June 2020: British Journal of Anaesthesia