Neuromuscular Depth and Surgical Conditions

In an era where deep neuromuscular blockade is out of fashion, along with residual paralysis concerns, this study shows that in patients undergoing elective laparoscopic colorectal surgery, deep neuromuscular blockade was associated with better surgical conditions than moderate blockade, as measured by a reduction in the incidence of intra-abdominal pressure alarms (as well as surgical rating). The moderate group was reversed with Neostigmine and the deep group with Sugammadex 4mg/kg. The availability of Sugammadex certainly makes this a more feasible practice.

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