TOF 0.9 Standard — FRCA Primary MCQ
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Correct answer: E — Residual 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