Assessing residual neuromuscular blockade using acceleromyography can be deceptive in postoperative awake patients.

Unlabelled: Postoperative awake patients may have significant residual neuromuscular block. In awake patients, the results of accelerometry are affected by extra movements to which the thumb may be subject. In this study, we evaluated the repeatability of train-of-four (TOF) ratio using acceleromyography in 253 patients recovering from anesthesia.