Comparison of train-of-four count by anesthesia providers versus TOF-Watch ® SX: a prospective cohort study

Conclusion Anesthesia providers report higher values of TOF count compared with the TOF-Watch SX, especially at intermediate levels of neuromuscular blockade. Since the dosing guidelines for the timing and dose of reversal agents are based on the TOF count derived from the TOF-Watch SX, a manually assessed TOF count may lead to inadequate dosing and/or premature administration of reversal agents.
Source: Canadian Journal of Anesthesia - Category: Anesthesiology Source Type: research