Validation of a convolutional neural network that reliably identifies electromyographic compound motor action potentials following train-of-four stimulation: an algorithm development experimental study [PDF]
BJA Open, 2023 Background: International guidelines recommend quantitative neuromuscular monitoring when administering neuromuscular blocking agents. The train-of-four count is important for determining the depth of block and appropriate reversal agents and doses ...
Richard H. Epstein +5 more
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Optimised reversal without train-of-four monitoring versus reversal using quantitative train-of-four monitoring: An equivalence study [PDF]
Indian Journal of Anaesthesia, 2019 Background and Aims: Less residual paralysis in recovery room was demonstrated when train-of-four (TOF) monitoring was applied. The aim of this study was to know whether optimisation of neostigmine reversal without TOF monitoring was equivalent to ...
Ardyan Wardhana +2 more
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Comparison of Train of Four Measurements with Kinemyography NMT DATEX and Accelerography TOFscan [PDF]
Medical Sciences, 2021 Introduction: This study was designed to compare the Datex neuromuscular transmission (NMT) kinemyography (NMTK) device with the TOFscan (TS) accelerometer during the onset and recovery of neuromuscular blockade.
Cyrus Motamed +2 more
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Estimation of the effect-site equilibration rate constant using the time-to-peak effect of muscle relaxants measured by train-of-four stimulation during general anesthesia induction [PDF]
Korean Journal of Anesthesiology, 2018 Background The concept of the effect-site concentration of anesthetic agents is important. The effect compartment model can be explained using the concepts of effect-site concentration and effect-site equilibration rate constant (ke0).
Se Yeon Park +4 more
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Low-Dose Neostigmine at 0.7 Train-of-Four Ratio Safely Accelerates Neuromuscular Recovery: A Prospective Observational Study [PDF]
Drug Design, Development and TherapyChang-Hoon Koo,1,2,* Chang Ik Choi,3,* Insun Park,1,2 Sohyun Lee,1 Ah-Young Oh1,2 1Department of Anesthesiology and Pain Medicine, Seoul National University Bundang Hospital, Seongnam, Korea; 2Department of Anesthesiology and Pain ...
Koo CH, Choi CI, Park I, Lee S, Oh AY
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Impact of normalizing the acceleromyographic train-of-four ratio on detecting residual paralysis—a cohort study [PDF]
BMC AnesthesiologyBackground Quantitative monitoring is recommended to prevent residual postoperative neuromuscular blockade. Guidelines advocate a train-of-four ratio ≥ 0.90 before extubation.
Anders C. Feyling +4 more
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Relationship Between Muscle Tone and Elasticity: Simultaneous Quantitative Assessment Using Train-of-Four Monitoring and Continuous Shear Wave Elastography During Anesthesia Induction—A Prospective Observational Study [PDF]
DiagnosticsBackground/Objectives: Non-invasive evaluations of muscle elasticity and tone are crucial in musculoskeletal medicine. Shear wave elastography (SWE) provides quantitative assessments of muscle elasticity, whereas train-of-four (TOF) monitoring measures ...
Hitoshi Shitara +13 more
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Train of four stimulation artifact mimicking a seizure during computerized automated ICU EEG monitoring [PDF]
Epilepsy and Behavior Case Reports, 2017 A 54-year-old man was admitted to the intensive care unit with an aneurysmal subarachnoid hemorrhage and subsequently underwent mechanical ventilation and received neuromuscular blocking drugs to control refractory elevated intracranial pressure.
Laxmi P. Dhakal +2 more
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Train-of-Four monitoring: overestimation [PDF]
Korean Journal of Anesthesiology, 2011 Jeong Uk Han
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Validation of a convolutional neural network that reliably identifies electromyographic compound motor action potentials following train-of-four stimulation: an algorithm development experimental study—Reply to: Br J Anaesth Open 2024:100264. [PDF]
BJA OpenRichard H. Epstein +5 more
doaj +2 more sources