2018
DOI: 10.1177/0310057x1804600613
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The Effect of Preload on Electromyographic Train-Of-Four Ratio at the First Dorsal Interosseous Muscle during Spontaneous Recovery from Neuromuscular Blockade

Abstract: Accurate and reliable quantitative neuromuscular function monitoring is desirable for the optimal management of neuromuscular blockade, selection of the most appropriate reversal agent and dosage, and assessing the completeness of reversal to exclude residual neuromuscular blockade. Applying preload to the thumb may affect the precision of electromyography. This study compared the precision and agreement of electromyography with and without preload during recovery from non-depolarising neuromuscular blockade. … Show more

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“…This application of preload to the thumb and fixation of the monitored extremity also improves the precision of the EMG-derived baseline train-of-four ratios. 39 Nevertheless, the low variation coefficient of the baseline measurements with EMG suggests that the use of preload and normalization of responses to baseline value is unnecessary with this device (as opposed to acceleromyography-based monitors), improving its clinical acceptance and routine use.…”
Section: Discussionmentioning
confidence: 99%
“…This application of preload to the thumb and fixation of the monitored extremity also improves the precision of the EMG-derived baseline train-of-four ratios. 39 Nevertheless, the low variation coefficient of the baseline measurements with EMG suggests that the use of preload and normalization of responses to baseline value is unnecessary with this device (as opposed to acceleromyography-based monitors), improving its clinical acceptance and routine use.…”
Section: Discussionmentioning
confidence: 99%