Emergence: Neuromuscular Block

Ideally, patients will spontaneously recover from a neuromuscular block. 

However, depending on how much neuromuscular block is left in the patient's body, a reversal agent may need to be administered.

The main reversal agent used is suggamadex, which is a neuromuscular reversal agent that inactivates rocuronium. No effect on succinylcholine.

Used for:

• Patients who are at risk of experiencing postoperative residual neuromuscular block (e.g., patients >80 years, patients  undergoing thoracic surgery).

Adverse Effects: 

• May cause perioperative anaphylaxis 

• May cause bradycardia (vasoactive drugs, such as atropine, should be available)