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TOF 0.9 Standard — FRCA Primary MCQ

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EasyPhysics & Clinical MeasurementTOF 0.9 StandardFRCA Primary

TOF ratio ≥ 0.9 is required for adequate recovery from non-depolarising block. Which of the following is true at TOF 0.7?

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Correct answer: EResidual weakness with impaired pharyngeal function and aspiration risk exists

TOF 0.7 was historically considered adequate but is now known to be associated with residual weakness / impaired pharyngeal function / increased aspiration risk / and postoperative pulmonary complications. TOF ≥ 0.9 is the current standard for safe extubation.

Reference: Peck Hill Williams 2014 Pharmacology for Anaesthesia and Intensive Care