What clinical outcomes could be expected at which TOF ratios?

Monitoring TOF Ratio on adductor pollicis Ratio: 0.5 Ratio: 0.8 Ratio: 1.0 Pharyngeal function (Swallowing) Significantly Impaired Impaired Mostly Normal Integrity of upper airway Significantly Impaired Impaired Mostly Normal Hypoxic respiratory response Frequently Impaired Mostly Normal Normal Eikermann et al. AM J Repir Crit Care Med. 2007;175:9-15 Berg H et al. Acta Anaesthesiol Scand. 1997; 41:1095-1103 Murphy…

When should you use Train-of-Four (TOF), Double Burst (DB), Post-Tetanic Count (PTC), Twitch or Tetanus?

Stimulation Pattern
Onset of Action
Deep NMB
Moderate NMB
Neuromuscular Recovery

TOF
Suitable
Not Suitable
Suitable
Conditionally Suitable

TOF with objective monitoring
Suitable
Not Suitable
Suitable
Suitable

DB
Conditionally Suitable
Suitable
Not Suitable
Conditionally Suitable

PTC
Conditionally Suitable
Suitable
Not Suitable
Not Suitable

Tetanus
Not Suitable
Not Suitable
Not Suitable
Not Suitable