Open AccessHand or foot train-of-four tests and surgical site muscle relaxation assessed with multiple motor evoked potentials
Author(s) -
Michael Betz,
José Aguirre,
Martin Schubert,
Tobias Götschi,
Bárbara Huber,
Regula Schüpbach,
Muriel Brada,
José Miguel Spirig,
Mazda Farshad
Publication year - 2020
Publication title -
european journal of anaesthesiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.445
H-Index - 76
eISSN - 1365-2346
pISSN - 0265-0215
DOI - 10.1097/eja.0000000000001398
Subject(s) - medicine , rocuronium , muscle relaxation , deltoid curve , adductor pollicis muscle , anesthesia , neuromuscular monitoring , rocuronium bromide , relaxation (psychology) , physical therapy , physical medicine and rehabilitation , surgery , neuromuscular blockade , ulnar nerve , propofol , elbow
Intra-operative muscle relaxation is often required in orthopaedic surgery and the hand train-of-four (TOF) test is usually used for its quantification. However, even though full muscle relaxation is claimed by anaesthesiologists based on a TOF count of zero, surgeons observe residual muscle activity.