Trends in the use of neuromuscular blocking agents, reversal agents and neuromuscular transmission monitoring: a single-centre retrospective cohort study

ConclusionOur data demonstrate that the implementation of NMT monitoring with automatic recording coincides with a gradual increase in the (documented) use of NMT monitoring and an increased use of sugammadex with a more precise dose. Factors associated with sugammadex use include higher age, ASA score, BMI, abdominal and thoracic surgery, higher rocuronium doses, emergency surgery and the use of NMT monitoring.Trial registrationN/A.Key points• Introduction of NMT monitoring with automatic recording coincides with an increase in (documented) use of NMT monitoring.• Sugammadex is more frequently used in patients with a presumed higher a priori risk of pulmonary complications.• Despite increased NMT monitoring and use of sugammadex a significant percentage of patients remain at potential risk of rNMB.
Source: Perioperative Medicine - Category: Surgery Source Type: research