Postoperative Upper Airway Obstruction After Recovery of the Train of Four Ratio of the Adductor Pollicis Muscle from Neuromuscular Blockade
Anesth Analg 2006 102: 937-942.
[Abstract]
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IMPLICATIONS: A combination of train-of-four (TOF) monitoring with other monitoring methods, e.g., forced vital capacity fade or testing the ability to swallow normally, may increase the ability to detect "outliers," i.e., patients with persistent effects of neuromuscular blockade on upper airway integrity despite recovery of the TOF ratio.