Comparison of visual and electromyographic assessments with train-of-four stimulation of the ulnar nerve: a prospective cohort study.
Johnathan R RenewVivian Hernandez-TorresHarold Chaves-CardonaIlana LogvinovSorin J BrullPublished in: Canadian journal of anaesthesia = Journal canadien d'anesthesie (2023)
Subjective observations of a "twitch" do not consistently correspond to objective measurements of neuromuscular blockade with electromyography. Subjective evaluation overestimates the response to neurostimulation and may be unreliable for determining the depth of block or confirming adequate recovery.