Sugammadex: clinical development and practical use

Sugammadex is belonging to a new class of drugs: the selective relaxant binding agents. Sugammadex can reverse residual paralysis by encapsulating free circulating non depolarizing muscle relaxants. The mains advantages of sugammadex when compared with conventional anticholinesterase agents are a mu...

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Main Authors: Thomas Fuchs-Buder, Claude Meistelman, Julien Raft
Format: Article
Language:English
Published: Korean Society of Anesthesiologists 2013-12-01
Series:Korean Journal of Anesthesiology
Subjects:
Online Access:http://ekja.org/upload/pdf/kjae-65-495.pdf
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author Thomas Fuchs-Buder
Claude Meistelman
Julien Raft
author_facet Thomas Fuchs-Buder
Claude Meistelman
Julien Raft
author_sort Thomas Fuchs-Buder
collection DOAJ
description Sugammadex is belonging to a new class of drugs: the selective relaxant binding agents. Sugammadex can reverse residual paralysis by encapsulating free circulating non depolarizing muscle relaxants. The mains advantages of sugammadex when compared with conventional anticholinesterase agents are a much faster recovery time and the unique ability, for the first time, to reverse rapidly and efficiently deep levels of neuromuscular blockade. However it only works for reversal of rocuronium or vecuronium-induced neuromuscular blockade. When administered 3 min after rocuronium the use of a large dose (16 mg/kg) can even reverse rocuronium significantly faster than the spontaneous recovery after succinylcholine.
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spelling doaj.art-51897b8906774c2b88046b638d9d94162022-12-22T00:18:16ZengKorean Society of AnesthesiologistsKorean Journal of Anesthesiology2005-64192005-75632013-12-0165649550010.4097/kjae.2013.65.6.4957711Sugammadex: clinical development and practical useThomas Fuchs-Buder0Claude Meistelman1Julien Raft2Department of Anesthesiology, Centre Hospitalier Universitaire de NANCY, Hopital de Brabois, Vandoeuvre, France.Department of Anesthesiology, Centre Hospitalier Universitaire de NANCY, Hopital de Brabois, Vandoeuvre, France.Department of Anesthesiology, Centre Hospitalier Universitaire de NANCY, Hopital de Brabois, Vandoeuvre, France.Sugammadex is belonging to a new class of drugs: the selective relaxant binding agents. Sugammadex can reverse residual paralysis by encapsulating free circulating non depolarizing muscle relaxants. The mains advantages of sugammadex when compared with conventional anticholinesterase agents are a much faster recovery time and the unique ability, for the first time, to reverse rapidly and efficiently deep levels of neuromuscular blockade. However it only works for reversal of rocuronium or vecuronium-induced neuromuscular blockade. When administered 3 min after rocuronium the use of a large dose (16 mg/kg) can even reverse rocuronium significantly faster than the spontaneous recovery after succinylcholine.http://ekja.org/upload/pdf/kjae-65-495.pdfcyclodextrinsneostigmineneuromuscular blockresidual neuromuscular blockaderocuroniumsugammadex
spellingShingle Thomas Fuchs-Buder
Claude Meistelman
Julien Raft
Sugammadex: clinical development and practical use
Korean Journal of Anesthesiology
cyclodextrins
neostigmine
neuromuscular block
residual neuromuscular blockade
rocuronium
sugammadex
title Sugammadex: clinical development and practical use
title_full Sugammadex: clinical development and practical use
title_fullStr Sugammadex: clinical development and practical use
title_full_unstemmed Sugammadex: clinical development and practical use
title_short Sugammadex: clinical development and practical use
title_sort sugammadex clinical development and practical use
topic cyclodextrins
neostigmine
neuromuscular block
residual neuromuscular blockade
rocuronium
sugammadex
url http://ekja.org/upload/pdf/kjae-65-495.pdf
work_keys_str_mv AT thomasfuchsbuder sugammadexclinicaldevelopmentandpracticaluse
AT claudemeistelman sugammadexclinicaldevelopmentandpracticaluse
AT julienraft sugammadexclinicaldevelopmentandpracticaluse