How to Do Post Tetanic Count?

It consists of applying a 50-Hz tetanic stimulus to the ulnar nerve for 5 s, followed by single twitch stimulation at 1 Hz. The number of twitches observed in the period of post-tetanic facilitation, the post-tetanic count, correlates inversely with the degree of neuro- muscular blockade.

How does post tetanic count work?

Post-tetanic count

If a 5 s tetanic stimulus at 50 Hz is administered, after no twitch response has been elicited, followed 3 s later by further single twitches at 1 Hz, there may be a response to single twitch stimulation.

How is TOF ratio calculated?

The TOF ratio is calculated by comparing the magnitude of the fourth evoked response or twitch (T4) to that of the first response (T1). During partial nondepolarizing block, T4 decreases preferentially, such that there is fade (i.e., TOF ratio less than 1.0). In the illustration above, the TOF ratio = 0.40 (40%).

Elena Rostova

Elena Rostova

Lead Health, Wellness & Medical Journalist

Elena Rostova holds a Master's degree in Public Health Journalism. She covers groundbreaking medical research, holistic wellness trends, mental health awareness, and nutritional science.