Train of Four

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TOF Ratio by Acceleromyography

Put a number on the twitches your peripheral nerve stimulator produces. The app uses the iPhone's built-in three-axis accelerometer as an acceleromyograph to quantify the mechanical response to peripheral nerve stimulation. Secure the iPhone to the patient's hand, stimulate the ulnar nerve with a standard train-of-four stimulus, and the app records the resulting thumb movements. It identifies the peak of each of the four twitches and calculates the train-of-four ratio (T4/T1). REAL-TIME ACCELEROMETER VISUALIZATION The app displays the accelerometer signal in real time. Acceleration is express…

カテゴリ: Education, Medical

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