Revista española de anestesiología y reanimación
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Rev Esp Anestesiol Reanim · Feb 1999
Randomized Controlled Trial Clinical Trial[Utility of double burst stimulation in the detection of residual neuromuscular blockade].
To assess the usefulness of double burst stimulation (DBS) for detecting neuromuscular blockade caused by atracurium and vecuronium. ⋯ Assuming that DBS reduces the risk of residual curarization and that a TOF-ratio greater than 0.75 indicates adequate recovery from neuromuscular blockade, manual assessment of DBS response as obtained in this study indicates curarization and equal responses do not guarantee its absence. The most reliable index of recovery from neuromuscular blockade is the TR obtained by electromyographic monitoring.