Neuromuscular Blockade in the ICU: To the Editor

Train‐of‐Four: To Use or Not to Use

“…Pressure will decrease the electrode-skin resistance and distance from skin to nerve, thus increasing the amount of current delivered and possibly leading to overestimation of response. 26 Operator assessment of TOF response and fade by tactile evaluation is subjective and therefore prone to misinterpretation. For example, two equal, strong thumb twitches with a very faint third twitch may be interpreted by one operator as two twitches and by a second as three twitches.…”