Tactile and Visual Evaluation of the Response to Train-of-four Nerve Stimulation

The TOF‐Guard neuromuscular transmission monitor

“…However, monitoring with simple nerve stimulators has been shown to be unreliable even in experienced hands and residual blockade has been observed despite their use [3,4]. A possible reason for residual blockade in the postoperative period may be the lack of objectivity and sensitivity of tactile assessment of the TOF response [5]. advantages in terms ofexpense and postoperative nausea and vomiting.…”

The use of muscle relaxants in the intensive care unit

“…137 However, discrepancies exist between an assessment of the T4/T I ratio, using either visual or tactile estimation, and the degree of neuromuscular block. 138 In the presence of a residual neuromuscular block, the patient with a tracheal tube in place may be capable of eliciting an adequate tidal volume (10-12 ml. kg -1) and of generating a negative inspiratory pressure > 30 cm H20 yet, following extubation, the patient is incapable of maintaining a patentairwaydueto weakness of the upper airway muscles.…”

Monitorización intraoperatoria del bloqueo neuromuscular y la presión arterial con un solo dispositivo (TOF-Cuff): estudio comparativo con la mecanomiografía y la presión arterial invasiva

“…Es muy difícil estimar visualmente o manualmente una relación de un TOF y excluir con suficiente certeza curarización residual cuando el cociente T4/T1 es superior a al 40%, denominándose intervalo de falsa seguridad al TOF-ratio comprendido entre 0.4 y 0.9 53 . Durante dicho periodo de vulnerabilidad el paciente puede parecer que está recuperado, estando presente cierto grado de BNMR capaz de comprometer la función respiratoria.…”