Quantitative Neuromuscular Monitors

Using TwitchView

TwitchView provides accurate, continuous data, but to positively impact care, the anesthesia provider must interpret and apply that data. We will provide tips on the clinical application of quantitative neuromuscular monitoring empowering you—the provider—to base your management of neuromuscular blockade on quantitative data just like you do with blood pressure, temperature, and every other important physiologic parameter.

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    What is The Twitch?

    Now that the American Society of Anesthesiologists and European Society of Anaesthesiology have published Neuromuscular Blockade Practice Guidelines recommending the routine use of quantitative neuromuscular monitors, change is imminent. Most anesthesia providers only have access to peripheral nerve stimulators, meaning they’ll need to incorporate a new device into their workflow and an unfamiliar parameter into their clinical practice.

    The evidence is sound, but it doesn’t make change less difficult. To ease the transition and aid adoption, we’ve created The Twitch, a blog repository for all things neuromuscular blockade monitoring. Having spent the past decade building quantitative neuromuscular monitors and helping anesthesia departments introduce them as a standard of care, we’ve learned a few things. We created this blog to share our knowledge, and the knowledge of colleagues who have been on the front lines of this change. Whether you’re wondering how a TOF ratio is calculated, or looking for systemwide implementation best practices, we’re hoping you’ll find the answers here.

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