Why the study?
Does neurostimulation at submaximal currents provide consistent train-of-four (TOF) ratios compared to higher currents in patients under anesthesia?
Population
31 patients (ASA Physical Status 1, 2, and 3) undergoing anesthesia
Design
Other, random order of stimulation currents
Authors
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Supports consistent TOF ratios at lower currents; hypothesis-generating and requires prospective validation before practice change.
Does neurostimulation at submaximal currents provide consistent train-of-four (TOF) ratios compared to higher currents in patients under anesthesia?
Train-of-four testing with submaximal currents can be performed reliably at ≥10 mA above the T4 threshold.
Silverman et al. (1992) studied this question.
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