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Peripheral Electrical Stimulation: Titrating Neuromuscular Blocking Agent Levels

Objective monitoring of the response to neuromuscular blocking agents is essential to ensure the patient receives the maximum benefit from the drug without harm. Peripheral nerve stimulation using a train-of-four mode of four quick pulses is an intervention the critical care nurse uses at the bedside to monitor the level of neuromuscular blockage for each patient. The nurse can use this objective evaluation and a dosage protocol to titrate effective levels of neuromuscular blocking agents for ventilated patients