Original Article

CME Article: Sugammadex Reduces PACU Recovery Time after Abdominal Surgery Compared with Neostigmine

Authors: Jin Deng, MS, Maha Balouch, MA, Michael Albrink, MD, Enrico M. Camporesi, MD


Objective: This study blindly evaluated sugammadex compared with neostigmine on length of stay in the postanesthesia care unit (PACU).

Methods: Fifty patients undergoing elective laparoscopic cholecystectomy or abdominal wall hernia repair consented to receive either sugammadex (2 mg/kg) or neostigmine (0.07 mg/kg) for the reversal of rocuronium neuromuscular blockade. Reversal agents were administered during surgical closing, and the train of four was measured until a twitch ratio of T4:T1 ≥ 0.9 was obtained to signify a robust reversal. Postreversal outcomes also were measured during PACU stay. Aldrete scores, pain visual analog scale score, and nausea were measured during the PACU stay.

Results: Patients receiving sugammadex experienced a shorter PACU stay at the time of discharge than patients receiving neostigmine, by an average of 12 minutes (P < 0.05).

Conclusions: Sugammadex patients had a significantly shorter PACU stay.

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