1991
DOI: 10.1093/bja/67.5.574
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Intraoperative Assessment of Atracurium-Induced Neuromuscular Block Using Double Burst Stimulation

Abstract: Paired train-of-four (TOF) and double burst stimuli (DBS) were administered to the ulnar nerve at the wrist in 25 patients (group 1) paralysed with atracurium 0.5 mg kg-1; responses were measured mechanically (except every third DBS response which was manually evaluated). Another 30 patients (group 2) received a DBS every 60 s. A post-tetanic count (PTC) was performed when the first response (D1) was palpated. There was a significant correlation between the twitch heights of the first TOF response (T1) and D1 … Show more

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Cited by 16 publications
(6 citation statements)
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“…Presence of palpable fade to the two bursts of stimuli is indicative of significant residual paralysis, with a corresponding train of four (TOF) ratio less than 0.7 [ 1,2]. Attempts have been made to use DBS for intra-operative evaluation of neuromuscular function for administration of additional doses of muscle relaxant [4]. A search of the literature reveals scanty information on use of DBS for evaluating intubating conditions after administration of muscle relaxants.…”
Section: Discussionmentioning
confidence: 99%
“…Presence of palpable fade to the two bursts of stimuli is indicative of significant residual paralysis, with a corresponding train of four (TOF) ratio less than 0.7 [ 1,2]. Attempts have been made to use DBS for intra-operative evaluation of neuromuscular function for administration of additional doses of muscle relaxant [4]. A search of the literature reveals scanty information on use of DBS for evaluating intubating conditions after administration of muscle relaxants.…”
Section: Discussionmentioning
confidence: 99%
“…Cuando se aplica de forma continua, cada grupo de tren de estímulos se repite cada diez, quince, o veinte segundos para evitar debilitamiento 48,49 .…”
Section: Tren De Cuatro ("Train Of Four" Tof)unclassified
“…Si se observa una intensidad de contracción diferente en la segunda respuesta implica un efecto residual del BNM; por el contrario, si se obtienen 2 respuestas con una misma intensidad supone, en el 80% de los casos, que la relación TOF es mayor de 0.6 59 . Supone, por tanto, una mejora sobre la monitorización del TOF, pero no garantiza la presencia visual de debilitamiento cuando el TOF-ratio sea > 0.7.…”
Section: Doble Ráfaga ("Double Burst Stimulation" Dbs)unclassified
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