THE TWITCHING HOUR: TRAIN-OF-FOUR EXPLAINED │ EP114
Show notes
Welcome to the Atomic Anesthesia podcast hosted by CRNA professor Dr. Rhea Temmermand and Co-Founder Sachi Lord. On this show, you'll hear clear, clinically grounded discussions designed for nurse anesthesia residents and CRNAs who want to feel more confident in complex pharmacology, physiology, and real-world anesthesia decision-making.
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In this episode:
- Train-of-four basics, including what the twitches actually represent and how to interpret your TOF count
- TOF count vs TOF ratio, understanding fade, and why four twitches does not necessarily mean full recovery
- Post-tetanic count, depth of neuromuscular blockade, and when to use different stimulation patterns
- Ulnar vs facial nerve monitoring, Phase I vs Phase II succinylcholine blockade, and qualitative vs quantitative monitoring
- Using TOF to guide neostigmine and sugammadex reversal, plus high-yield SEE/NCE concepts and practice board questions
💜 FREE DOWNLOADS: Grab your copy of customized study plans & worksheets.
- GPCR Cheat Sheet — The G-protein coupled receptor mechanisms behind the alpha antagonists, beta blockers, and signaling pathways that show up in every OR vasodilator conversation.
- SEE/NCE Study Plan — A structured plan to help you prepare for the SEE and NCE without burning out — hypertension treatment is a high-yield topic.
- Non-Opioid Pharmacology Cheat Sheet — Propofol, ketamine, dexmedetomidine, and the rest of the non-opioid sedation toolkit on one page.
💜 CONNECT: 📥 Email questions, comments or topic suggestions to Rhea & Sachi at [email protected], follow us on social media, and sign up for our newsletter.
Mentioned in this episode:
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