Anaes Vivas · Neuromuscular blockade & reversal
Neostigmine versus sugammadex for reversal
Viva comparing neostigmine and sugammadex reversal of neuromuscular blockade.
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Prompt
A comparison table of neostigmine and sugammadex (mechanism, applicability, speed, ability to reverse deep block, residual-blockade risk, cost).
Stimulus
A comparison table of neostigmine and sugammadex is presented across six axes: mechanism, applicability, speed of reversal, ability to reverse a deep block, residual-blockade and postoperative-pulmonary-complication risk, and cost. Discuss each axis, state the mechanism of each agent, and outline the place of each in modern practice.
[3]References3ShowHide
- [1]Tsai YF, et al. Sugammadex vs. neostigmine and the risk of postoperative pulmonary complications. Anaesthesia, 2026.PMID 42317106
- [3]Leslie K, et al. Sugammadex versus neostigmine for reversal of neuromuscular blockade and postoperative pulmonary complications. Lancet Respir Med, 2026.PMID 42263720
- [6]Krönauer T, Girrbach F, Simon P, Heller AR. [Muscle relaxation and neuromuscular monitoring : Current findings and recommendations for the clinical practice]. Anaesthesiologie, 2026.PMID 42334564