Indian Journal of Clinical Anaesthesia
  • Year: 2015
  • Volume: 2
  • Issue: 4

Residual Neuromuscular Blockade: A Comparison of Double Burst Stimulation and Train-of-Four

Assistant Professor, Department of Anesthesiology, Kerala Medical College, Mangode, Palakkad, Kerala, E-mail: ramspsm@gmail.com

Online published on 4 February, 2016.

Abstract

Monitoring of neuromuscular blockade helps to detect the depth of neuromuscular blockade and adequacy of recovery of neuromuscular function following injection of an anticholinesterase drug.

This study was conducted after getting institutional approval. One hundred and forty patients belonging to ASA-PS I & II were included in this study. Patients were monitored with three electrode electrocardiogram monitoring, pulse oximetry, nasopharyngeal temperature and non invasive blood pressure.

Although the ‘p ’value between duration of anaesthesia and TOF and DBS equal is highly significant (p<0.001), the corresponding `r value is not very strong.

Absence of fade on DBS correlates better with clinical recovery of neuromuscular blockade, than absence of fade on TOF stimulation.

Keywords

Neuromuscular, Monitoring, Double burst stimulation, train of four