The American Society of Anesthesiologists (ASA) and Digital Surgery announced the launch of a new simulation app activity: Train-of-Four (TOF) Quantitative Monitoring for Neuromuscular Blockade (NMB). This simulation, supported by an educational grant from Merck, is part of ASA's ongoing commitment to education on the importance of neuromuscular monitoring. Although optimal neuromuscular blockade and recovery is widely recognized as an important strategy to help prevent complications in patients postoperatively, several knowledge and practice gaps remain.

"Delivering high caliber education in a format that is easily accessible to all members of the anesthesia care team is crucial, and one that will have a great effect on patient safety and contribute to more successful outcomes," said ASA President Linda Mason, M.D., FASA.

Digital Surgery, working closely with ASA and its faculty, developed the simulation to demonstrate the correct steps and processes by which quantitative NMB monitoring is performed. Due to the low level of adoption of NMB monitoring, this activity seeks to offer physician anesthesiologists, anesthesiologist assistants, nurse anesthetists, post anesthesia care unit (PACU) nurses, perioperative pharmacists, and ambulatory or operating room care team members with tools to reinforce the importance of NMB and recovery. The simulation contributes to a holistic and blended learning experience, where learners can rehearse the TOF procedure, from anywhere and at any time through Digital Surgery's mobile-based and academically validated app, Touch Surgery. Other complementary learning modalities – didactic and audio content accessible through ASA's Education Center – will supplement the learning experience. Importantly, learners who complete the simulation's learning modules and pass assessments will be eligible for continuing medical education (CME) credits.