Table 1 Clinical tests to evaluate the neuromuscular function. The tests were performed after extubation in the awake, alert, and cooperative patient
Test | Evaluation | Scores |
|---|---|---|
Open eyes | Time able to keep eyes open [s] | 0–5 |
Diplopic image | Appearance of diplopic images [yes = 0; no = 1] | 0–1 |
Stick out tongue | Time able to stick out tongue [s] | 0–5 |
Spatula pressure | Subjective strength necessary to pull out the spatula against the patient’s occlusion efforts | 0–3 |
Head lift | Time able to elevate the head from the pillow in supine position [s] | 0–5 |
Arm lift | Time able to elevate the arm to 45° in supine position [s] | 0–5 |
Press hand | Subjective strength of the patient pressing the investigator’s hand | 0–3 |
Swallowing 20 ml of water | Impossible = 0, possible with choking = 1, possible, but with problems = 2, possible without any hindrance = 3 | 0–3 |