Maintenance of deep Neuro Muscular Blockade (NMB) until the end of surgery may be beneficial in surgical procedures that require deep levels of muscular relaxation or complete absence of movement, such as robotic, abdominal, and laparoscopic bariatric procedures. NMB reversal has traditionally been performed using an acetylcholinesterase inhibitor such as neostigmine; however, neostigmine cannot adequately reverse deep levels of NMB, and recovery of neuromuscular function may be prolonged and unpredictable. Sugammadex has been extensively studied in patients in Europe and the USA, and is marketed for use in more than 40 countries worldwide.
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Last date updated on July, 2020