Recommended by the American Society of Anesthesiologists Practice Guidelines
The only clinically-validated electromyography (EMG) monitor, studies demonstrate that TwitchView improves the management of neuromuscular blockade, optimizes antagonism and can eliminate residual neuromuscular blockade. Start increasing patient safety & reducing NMB drug costs by using TwitchView.
TwitchView Quantitative Train of Four Monitor Highlights
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Adult and pediatric electrodes can be rapidly placed on either the hand or foot.
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Electromyography (EMG) based measurements require no motion and can be utilized on tucked arms.
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One button startup initiates continuous monitoring across all levels of neuromuscular blockade (TOF Ratio, TOF Count, Post-tetanic Count).
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Integration with electronic medical records (EMRs) eliminates manual charting.
One Quantitative Train of Four Monitor Works for All Ages
Only one quantitative neuromuscular monitor is needed for all patient populations. TwitchView electrodes are available in adult, pediatric and infant sizes.
Leading Hospitals are Already Benefitting from TwitchView.
We understand that new technology adoption requires planning, collaboration and education. Blink DC has created a suite of tools to facilitate success, and we will partner with your institution to ensure an effective TwitchView implementation and ongoing use. Contact us to learn more.
Used by Your Peers.
Accuracy Matters
TwitchView Quantitative Train of Four Monitor Validation
Beyond usability, TwitchView is the ONLY quantitative neuromuscular monitor clinically validated as accurate and interchangeable with gold-standard mechanomyography (MMG). When clinical decisions are based on monitor data—accuracy matters. TwitchView has been validated in multiple independent studies and proven accurate from deep blockade to recovery.
Precise TOF Counts
"Electromyography (EMG) with TwitchView and mechanomyography (MMG) most closely correlated with the palpated count3"
Precise TOF Ratios
"The TOF ratio measured with TwitchView, resembled gold-standard mechanomyography (MMG)4"___________
Access to validated accuracy supports optimal management of neuromuscular blockade and ensures adequate recovery is achieved prior to extubation. The benefits of TwitchView utilization are published and Blink DC will partner with you to create a custom implementation plan to achieve your department's goals.
"Reversal with Sug. was deemed unnecessary in all cases managed clinically with the TwitchView Train of Four monitor.1""
Patient Safety Enhanced
"Using TwitchView, we eliminated the occurrence of residual neuromuscular blockade and utilized Sug. in less than 50% of patients2"
The twitch monitor is great. It is making a real change in how we approach management of NM blockade.”
Attending Anesthesiologist, Philadelphia Academic Institution
Optimize NMB Drug Management.
Reduce NMB Drug Spending.
In addition to real-time measurements, TwitchView displays the patient's level of blockade and recovery on a trend plot. The trend plot enables clinicians to visualize how neuromuscular blocking agents affect each patient differently, often leading to less overall drug use and more reversal options. Most importantly, adequacy of reversal is confirmed by a TOF ratio > 90% prior to extubation, which eliminates the possibility of residual neuromuscular blockade (RNMB) and supports conservative reversal choices.
References:1. Ly N, Edwards LA, Morewood G. The influence of EMG-based quantitative TOF monitoring on clinical decision making. Paper presented at: Postgraduate Assembly in Anesthesiology; December 13-17, 2019; New York, NY. 2. Thilen SR, Sherpa J, Treggiari MM, James A, Cain KC, Bhananker SM. Best Management of Muscle Relaxation with Roc. Using Objective Monitoring and Reversal with Neostigmine or Sug.. Oral presentation Feb 28, 2020, Whistler Anesthesia Summit, Whistler, BC, Canada. 3. Bowdle A, Bussey L, Michaelsen K. Counting train-of-four twitch response: comparison of palpation to mechanomyography, acceleromyography, and electromyography. Br J Anaesth. 2020;124(6):712-717. 4. Bowdle A, Bussey L, Michaelsen K, et al. A comparison of a prototype electromyograph vs. a mechanomyograph and an acceleromygraph for assessment of neuromuscular blockade. Anesthesia. 2020;75(2):187-195.
