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Tactile evaluation of the response to double burst stimulation decreases, but does not eliminate, the problem of postoperative residual paralysis

Background: Routine perioperative monitoring with accelero‐myography might prevent residual block, whereas routine tactile evaluation of the response to train‐of‐four (TOF) nerve stimulation does not. The purpose of this prospective, randomised and blinded study was to evaluate the effect of manual evaluation of the response to double burst stimulation (DBS3.3) upon the incidence of residual block.