Train of Four
26
ASO score
Text
12/100
Reviews
50/100
Graphic
42/100
Other
0/100
App Rating
4.9
Votes
6
App Age
10y 4m
Last Update
Aug 20, 2015
Compare with Category Top Apps
|
Metrics
|
Current App
|
Category Top Average
|
Difference
|
|---|---|---|---|
|
Rating
|
4.88
|
4.6
|
+6%
|
|
Number of Ratings (Voted)
|
6
|
65.4K
|
-100%
|
|
App Age
|
10y 4m
|
9y 0m
|
+15%
|
|
In-app Purchases Price
|
$0
|
$35
|
|
|
Update Frequency
|
3788d
|
103d
|
+3 588%
|
|
Title Length
|
13
|
25
|
-48%
|
|
Subtitle Length
|
0
|
26
|
|
|
Description Length
|
1 694
|
2 675
|
-37%
|
|
Number of Screenshots
|
195
|
1385
|
-86
%
|
|
Size
|
2MB
|
281MB
|
-99
%
|
Category Ranking in United States
7 days
Last 7 days
Last 30 days
Last 90 days
Last 180 days
Last year
| Top | Dec 25, 2025 | Jan 01, 2026 |
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No results were found!
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| Top | Dec 25, 2025 | Jan 01, 2026 |
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No results were found!
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| Top | Dec 25, 2025 | Jan 01, 2026 |
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No results were found!
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| Top | Dec 25, 2025 | Jan 01, 2026 |
|---|---|---|
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No results were found!
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Ranking Keywords in United States
| Keywords | App Rank |
|---|
Analyze this and other apps using Asolytics tools
Text ASO
Title
(
Characters:
13
of 30
)
Train of Four
Subtitle
(
Characters:
0
of 30
)
Description
(
Characters:
1694
of 4000
)
During administration of general anesthesia, neuromuscular blockade is best measured with a train-of-four (TOF) ratio technique, which utilizes a nerve stimulator and a measurement device, such as mechanomyography. During TOF stimulation, the nerve stimulator causes a short burst for four muscle twitches. The force of each twitch is related to the degree of neuromuscular blockade. By dividing 4th to the 1st twitch height, one can assess TOF ratio. The ratio >0.9 is considered as safe for extubation of endotracheal tube and complete reversal from the neuromuscular blockade. Although nerve stimulators are widely accessible to anesthesiologists, the measuring devices are not. Therefore, instead of measuring TOF ratio, anesthesiologist generally rely on count of twitches and pharmacological reversal for everyone. This practice has been shown to be problematic. Data suggest that even mild degrees of residual paralysis (TOF 0.7-0.9) may be associated with significant impairment of respiratory and pharyngeal muscle function. Several studies have demonstrated that many patients continue to arrive in the postanesthesia care unit with TOF ratios <0.9. By combining the built in accelerometer in the iPhone along with the app, we have developed an alternative way of measuring the TOF ration. Our app development team included an anesthesia resident (RB) and an attending (MP) who, provided the medically relevant content, and a computer programmer (KT) to translate the vision into the computer's language. The next step will be a validation study of the predictive value of TOF ratio measured by iphone as compared with conventional mechanomyography devices and visual assessment.}
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Other
Additional Information
| Rating: | |
| Voted: | 6 |
| App Store Link: | |
| Website: | - |
| Email: | - |
| Privacy Policy: | - |
| Categories: | Medical |
| Size: | 1MB |
| App Age: | 10 years 4 months |
| Release Date: | Aug 20, 2015 |
| Last Update: | Aug 20, 2015 |
| Version: | 1.0 |
Version history
1.0
Aug 20, 2015
This app has been updated by Apple to display the Apple Watch app icon.