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RFP P47722Train of Four Monitoring UNIVERSITY OF NEW MEXICO HOSPITALS PURCHASING DEPARTMENT 933 Bradbury Dr. SE, Suite 3165 ALBUQUERQUE, NM 87106REQUEST FOR PROPOSAL (RFP) RFP Number: P47722TITLE:
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01
Apply four electrodes over the ulnar nerve in the patient's wrist and stimulate the nerve with electrical impulses.
02
Monitor and record the response of the patient's thumb muscle to the electrical stimuli.
03
Observe the twitch response of the thumb muscle and look for four distinct twitches, known as the train of four.
04
Count the number of twitches observed to determine the level of neuromuscular blockade.

Who needs train of four monitoring?

01
Train of four monitoring is commonly used in patients undergoing neuromuscular blockade during surgery or in intensive care units.
02
Patients receiving neuromuscular blocking agents such as succinylcholine or rocuronium may require train of four monitoring to assess the depth of paralysis.
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Train of four monitoring is a method used to assess the level of neuromuscular blockade in patients under sedation or anesthesia.
Anesthesiologists and healthcare providers administering neuromuscular blocking agents are required to perform train of four monitoring.
Train of four monitoring involves stimulating a patient's ulnar nerve and measuring the response of the corresponding muscle using a peripheral nerve stimulator.
The purpose of train of four monitoring is to ensure proper muscle function is maintained during sedation or anesthesia and to prevent postoperative complications.
The results of the train of four monitoring, including the twitch response to nerve stimulation and the calculated ratio of muscle response, must be documented.
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