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The train of four is a test we use in anesthesia to measure the patients level of neuromuscular blockade (paralytic). Four consecutive stimuli are delivered along the path of the nerve. We most commonly monitor the ulnar nerve and/or facial nerve. Once we administer paralytic, the “twitches” will diminish giving us an idea of how relaxed the patient is for the procedure. Paralytic helps ensure the patient does not move during the operation and it also can assist with mechanical ventilation if th
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The train of four is a test we use in anesthesia to measure the patients level of neuromuscular blockade (paralytic). Four consecutive stimuli are delivered along the path of the nerve. We most commonly monitor the ulnar nerve and/or facial nerve. Once we administer paralytic, the “twitches” will diminish giving us an idea of how relaxed the patient is for the procedure. Paralytic helps ensure the patient does not move during the operation and it also can assist with mechanical ventilation if th
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Facebooksleepingbeauti_
HOW TO DO PERIPHERAL NEUROMUSCULAR MONITORING(TRAIN OF FOUR)#@SmartMedicalKnowledge#icu
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Sarah Vance | ICU Nurse Education on Instagram: "This is part 2 of our discussion on Bispectral Index (BIS) monitoring vs. Train of Four (TO4) This video discusses: ⚡How we obtain a Train of Four ⚡Different anatomical locations for testing TO4 ⚡What the goal is for NMBA & TO4 (this one may surprise you!) ⚡What you will typically see in your order (and some pitfalls to it 🤔) ⚡How to discontinue the infusion (do you wean vs. stop it cold turkey?) ⚡Plus a few other vital things to know about NMBA
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