Figure 39-3 Pattern of stimulation and evoked muscle responses to tetanic (50-Hz) nerve stimulation for 5 seconds (Te) and post-tetanic stimulation (1.0-Hz) twitch. Stimulation was applied before injection of neuromuscular blocking drugs and during moderate nondepolarizing and depolarizing blocks. Note fade in the response to tetanic stimulation, plus post-tetanic facilitation of transmission during nondepolarizing blockade. During depolarizing blockade, the tetanic response is well sustained and no post-tetanic facilitation of transmission occurs.


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