Sugammadex is not enough: quantitative neuromuscular monitoring remains essential for postoperative respiratory safety
Ji-Yoon Jung, Tae-Yun Sung · 2026
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Description
Ji-Yoon Jung and Tae-Yun Sung argue in a 2026 commentary that sugammadex, a drug that rapidly reverses muscle relaxants used in anesthesia, has not made measurement of muscle recovery optional. Leftover paralysis after surgery can block the airway and weaken protective reflexes. The piece discusses a large study of more than one hundred thousand cases examining what changed after sugammadex arrived in practice.
Relaxant dosing climbed by about forty-five percent over the study years, including for operations that never needed deep blockade. Roughly eight percent of patients suffered breathing problems afterward, and heavier relaxant exposure raised that risk. Sugammadex softened the link but never erased it. Only monitoring with actual numbers removed the extra risk.
Catalog record
| CREATOR | Ji-Yoon Jung, Tae-Yun Sung |
|---|---|
| YEAR | 2026 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 9 KB |
| LICENSE | https://creativecommons.org/licenses/by/4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |