Residual neuromuscular block affects up to 40% of surgical patients without objective monitoring. Learn why EMG-based tools like TwitchView are essential for patient safety, drug stewardship, and improved outcomes.
The Neuromuscular Blockade Resource for Anesthesia Providers
Welcome to The Twitch, a hub for all things related to neuromuscular blockade during anesthesia. From the latest publications to tips on how to integrate quantitative neuromuscular monitors into routine care, The Twitch provides everything you need to practice smarter and not harder when muscle relaxants are utilized in the operating room.
Are continuous muscle relaxant infusions superior to bolus dosing? Explore expert insights on optimizing neuromuscular blockade in anesthesia practice for improved patient care.
Jeff Feldman, MD, MSE, FASA Professor of Clinical Anesthesiology (retired); Consultant for Blink Device Company, LLC
Explore what the ASA guidelines actually say about neuromuscular monitoring—and whether your practice is aligned with today’s standards of care.
Learn how quantitative EMG monitoring outperforms subjective twitch assessments in reducing residual paralysis and improving patient outcomes.
Discover how Blink was built in partnership with anesthesiologists to solve a real problem: unreliable Train of Four (TOF) monitoring.
Discover how proper electrode placement can enhance the accuracy and trust in quantitative neuromuscular monitoring, based on recent research findings by Ebert et al.
Elle Meyer
Explore the limitations of neostigmine in reversing neuromuscular blockade and discover its niche applications.
Andrew Bowdle MD, PhD, FASE
Understand strategies to prevent patient movement during surgery using neuromuscular blockers and opioids.
Andrew Bowdle MD, PhD, FASE
Step-by-step guide to implementing quantitative neuromuscular monitoring as recommended by the ASA practice guidelines.
TwitchView - The only clinically-validated electromyography (EMG) monitor
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Can Residual Neuromuscular Blockade (RNMB) Cause Post-Operative Critical Respiratory Events in Pediatric Patients?
Examine how quantitative neuromuscular monitoring can prevent adverse events in pediatric patients.
How to Monitor Succinylcholine-Induced Neuromuscular Blockade
Instructions for monitoring succinylcholine-induced neuromuscular blockade and a review of pseudocholinesterase deficiency.
Why Do the ASA Guidelines Recommend the Adductor Pollicis?
Why the ASA Guidelines recommend train-of-four measurements of the adductor pollicis with quantitative monitoring over a peripheral nerve stimulator (PNS).
How Quantitative Train of Four Impacts Rocuronium Reversal
Eliminate post-operative residual neuromuscular blockade (PRNMB) using protocol and guideline recommendations for quantitative train of four.
How to Implement the ASA Practice Guidelines for Neuromuscular Blockade
ASA Guidelines for Monitoring Neuromuscular Blockade. First author, Dr. Stephan Thilen discusses Reversal Guides, Reversal Protocols and Antagonism of NMB.
Introducing TwitchView2, a complete redesign based on experience in over 1,000,000 clinical cases around the world.
TwitchView2 is a next generation neuromuscular monitor built for OR durability and fast reliable performance even in difficult cases. With quick setup, a clear display, and one button start, it is the EASY button for anesthesiologists.
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