Cardiothoracic & vascular anesthesia

A Dose-finding Study of Sugammadex for Reversal of Rocuronium in Cardiac Surgery Patients and Postoperative Monitoring for Recurrent Paralysis

AnesthesiologyPublished Dose-finding study

Authors' conclusion

When sugammadex was titrated to effect, the dose was usually less than the recommended dose, but it was more in some patients.

Study context

Population
Cardiac surgery patients receiving rocuroniumevaluated
Participants
97 patients
Outcome
Sugammadex dose required to achieve TOFR 0.9 or greater
Follow-up
Conclusion of cardiac surgery
Methodological detailssugammadex titrated to effect, EMG monitoring, NMB monitored with electromyography in the ICU until sedation discontinued before extubation or for a maximum of 7 h
  • Sugammadex titrated to effect
  • EMG monitoring
  • NMB monitored with electromyography in the ICU until sedation discontinued before extubation or for a maximum of 7 h

Main finding

As reported in the abstract

Sugammadex dose required for TOFR ≥0.9

Required less than the recommended dose

84 of 97

87%

Required more than the recommended dose

13

13%

Safety

OutcomeValues
Recurrent paralysis requiring additional sugammadex (ICU monitoring)Sugammadex 2 events

Original publication

A Dose-finding Study of Sugammadex for Reversal of Rocuronium in Cardiac Surgery Patients and Postoperative Monitoring for Recurrent Paralysis. Anesthesiology. Published 7 April 2023. doi:10.1097/aln.0000000000004578

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