Advantages and pitfalls of clinical application of sugammadex

Sugammadex, a modified γ-cyclodextrin, is one of the drugs focused on in the anesthetic field because it provides rapid and complete reversal from neuromuscular blockade (NMB) by encapsulating rocuronium. Its introduction has revolutionized anesthesia practice because it is a safe, predictable, and...

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Main Authors: Hyung Young Lee, Ki Tae Jung
Format: Article
Language:English
Published: Korean Society of Anesthesiologists 2020-07-01
Series:Anesthesia and Pain Medicine
Subjects:
Online Access:http://www.anesth-pain-med.org/upload/pdf/apm-19099.pdf
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author Hyung Young Lee
Ki Tae Jung
author_facet Hyung Young Lee
Ki Tae Jung
author_sort Hyung Young Lee
collection DOAJ
description Sugammadex, a modified γ-cyclodextrin, is one of the drugs focused on in the anesthetic field because it provides rapid and complete reversal from neuromuscular blockade (NMB) by encapsulating rocuronium. Its introduction has revolutionized anesthesia practice because it is a safe, predictable, and reliable neuromuscular antagonist. Hence, its use has increased worldwide. Further, it has been in the spotlight for recovering from deep NMB in laparoscopic surgery and improving the surgical condition. Recently, studies have been conducted on the postoperative outcome after deep NMB and use of sugammadex in various clinical conditions. However, with increase in sugammadex use, reports regarding its complications are increasing. Appropriate dosing of sugammadex with quantitative neuromuscular monitoring is emphasized because under-dosing or over-dosing of sugammadex might be associated with unexperienced complications. Sugammadex is now leaping into an ideal reversal agent, changing the anesthesia practice.
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spelling doaj.art-0cb7333bc17940e29a5d3e6a2f9b420e2023-05-17T05:41:38ZengKorean Society of AnesthesiologistsAnesthesia and Pain Medicine1975-51712383-79772020-07-0115325926810.17085/apm.190991024Advantages and pitfalls of clinical application of sugammadexHyung Young Lee0Ki Tae Jung1 Department of Anesthesiology and Pain Medicine, Chosun University Hospital, School of Medicine, Chosun University, Gwangju, Korea Department of Anesthesiology and Pain Medicine, Chosun University Hospital, School of Medicine, Chosun University, Gwangju, KoreaSugammadex, a modified γ-cyclodextrin, is one of the drugs focused on in the anesthetic field because it provides rapid and complete reversal from neuromuscular blockade (NMB) by encapsulating rocuronium. Its introduction has revolutionized anesthesia practice because it is a safe, predictable, and reliable neuromuscular antagonist. Hence, its use has increased worldwide. Further, it has been in the spotlight for recovering from deep NMB in laparoscopic surgery and improving the surgical condition. Recently, studies have been conducted on the postoperative outcome after deep NMB and use of sugammadex in various clinical conditions. However, with increase in sugammadex use, reports regarding its complications are increasing. Appropriate dosing of sugammadex with quantitative neuromuscular monitoring is emphasized because under-dosing or over-dosing of sugammadex might be associated with unexperienced complications. Sugammadex is now leaping into an ideal reversal agent, changing the anesthesia practice.http://www.anesth-pain-med.org/upload/pdf/apm-19099.pdfcomplicationsneuromuscular blockadereviewrocuroniumsugammadex
spellingShingle Hyung Young Lee
Ki Tae Jung
Advantages and pitfalls of clinical application of sugammadex
Anesthesia and Pain Medicine
complications
neuromuscular blockade
review
rocuronium
sugammadex
title Advantages and pitfalls of clinical application of sugammadex
title_full Advantages and pitfalls of clinical application of sugammadex
title_fullStr Advantages and pitfalls of clinical application of sugammadex
title_full_unstemmed Advantages and pitfalls of clinical application of sugammadex
title_short Advantages and pitfalls of clinical application of sugammadex
title_sort advantages and pitfalls of clinical application of sugammadex
topic complications
neuromuscular blockade
review
rocuronium
sugammadex
url http://www.anesth-pain-med.org/upload/pdf/apm-19099.pdf
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