Double burst stimulation (DBS): a new pattern of nerve stimulation to identify residual neuromuscular block.

  title={Double burst stimulation (DBS): a new pattern of nerve stimulation to identify residual neuromuscular block.},
  author={Jens Engbaek and Doris Ostergaard and J{\o}rgen Viby-Mogensen},
  journal={British journal of anaesthesia},
  volume={62 3},
We present a new pattern of nerve stimulation--double burst stimulation (DBS)--to detect residual neuromuscular block manually. [] Key Method The ability to identify fade manually at different train-of-four (TOF) ratios was compared in four DBS patterns in which different numbers of impulses in the individual bursts were combined. The DBS with three impulses in each burst (DBS3,3) was considered to be the most sensitive and the least painful and thus most suitable for clinical use. The degree of fade in TOF…

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