case_images: PMC10872652_01
case_images: Apparatus for neuromuscular monitoring at the masseter muscle using acceleromyography. Two electrodes were placed in the space between the zygomatic arch and the mandibular notch. Given the course of the masseteric branch of the mandibular nerve, note that the positive (red) electrode is proximal and the negative (black) electrode distal. The distance between the centers of the electrodes was approximately 5 cm. An accelerometer was fixed on the masseter adherent to the mandible. The stimulation was at a current of 30 mA to avoid stimulating directly the masseter muscle or other facial muscles.. Image Credit: Author Ryo Wakabayashi; based on the image style of Naguib et al., 2018
case_images: cureus-0016-00000052456-i01.jpg
case_images: PMC10872652_01_cureus-0016-00000052456-i01.jpg
case_images: FIG1
case_images: The Netherlands) and the right masseter muscle (TOF Watch SX; Organon, Dublin, Ireland). The setting for neuromuscular monitoring at the masseter is shown in Figure 1.
case_images: Anesthesia record of the present case. ABP, arterial blood pressure; APM, adductor pollicis muscle; CBT, core body temperature; E, extubation; HR, heart rate; I, intubation; MM, masseter muscle; SpO2, arterial oxygen saturation; TOF, train-of-four; x, start and end of the anesthesia;  , start and end of the surgery
case_images: cureus-0016-00000052456-i02.jpg
case_images: PMC10872652_01_cureus-0016-00000052456-i02.jpg
case_images: FIG2
case_images: ICU. The anesthesia record of the present case is shown in Figure 2. In the postoperative period, the patient showed no symptoms of MH or residual NMB.