Sugammadex, the Guardian of Deep Muscle Relaxation During Conventional and Robot-Assisted Laparoscopic Surgery: A Narrative Review.
deep neuromuscular blockade
laparoscopic surgery
muscle relaxation remnants
sugammadex
Journal
Drug design, development and therapy
ISSN: 1177-8881
Titre abrégé: Drug Des Devel Ther
Pays: New Zealand
ID NLM: 101475745
Informations de publication
Date de publication:
2021
2021
Historique:
received:
16
07
2021
accepted:
26
08
2021
entrez:
22
9
2021
pubmed:
23
9
2021
medline:
29
1
2022
Statut:
epublish
Résumé
High intra-abdominal pressure induced by artificial pneumoperitoneum can obviously impair respiratory and circulatory functions and has a negative effect on the prognosis of patients undergoing conventional and robot-assisted laparoscopic surgery. The application of deep neuromuscular blockade during the operation is reported to lower the intra-abdominal pressure and improve patients' outcome. However, concern lies in the risks of postoperative residual muscular paralysis with the use of deep neuromuscular blockade. Sugammadex, a specific antagonist for aminosteroids muscle relaxants, can effectively and rapidly reverse rocuronium and vecuronium induced neuromuscular blockade of different depths. Thus, sugammadex allows the ability to safeguard the application of deep neuromuscular blockade in laparoscopic operations and helps to alleviate the adverse complications associated with pneumoperitoneum. Here, we review the application of deep neuromuscular blockade in different laparoscopic surgeries and discuss the benefits and possible risks of sugammadex administration in the reversal of deep neuromuscular blockade in these operations.
Identifiants
pubmed: 34548781
doi: 10.2147/DDDT.S328682
pii: 328682
pmc: PMC8449549
doi:
Substances chimiques
Neuromuscular Nondepolarizing Agents
0
Sugammadex
361LPM2T56
Vecuronium Bromide
7E4PHP5N1D
Rocuronium
WRE554RFEZ
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
3893-3901Informations de copyright
© 2021 Sun et al.
Déclaration de conflit d'intérêts
The authors report no conflicts of interest in this work.
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