In acute severe hemorrhage, every minute counts. In trauma and postpartum hemorrhage every 15 min delay increased mortality 10%. After 3 hours as we know, no benefit.
Don’t forget to advise female patients taking birth control of the interaction when Sugammadex was used.
As an aside, as always neuromuscular block must be monitored to determine an adequate dose of Sugammadex. And what if reintubation is needed? Succinylcholine still works normally, and Rocuronium can be used but in the first few hours after Sugammadex it may need double the dose; alternatively Cisatracurium is unaffected (and unreversible by Sugammadex). We are also seeing some reports of allergic reactions to Sugammadex or the complex it forms, so no it’s not a recommended treatment for Rocuronium allergic reaction.