WHY MONITORING IS IMPORTANT

Close monitoring of patients receiving NMBs is important for several reasons:

  • To assess the depth and duration of neuromuscular blockade, which can vary from patient to patient
  • To help determine when additional doses are needed
  • To assess recovery from the block
  • To prevent overdose

Monitoring With Train-of-Four

Monitoring a patient’s responses to a series of four peripheral-nerve stimuli (“train-of-four”) can help you assess the degree of neuromuscular blockade.

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