[Management of cesarean section under general anesthesia using sugammadex]

In cesarean section, residual neuromuscular blockade is often observed at the end of the operation. Sugammadex (SGX) is a selective relaxant-binding agent which reverses the blockade at any depth in 2-3 minutes. We investigated whether SGX improves the efficient management of operating rooms.

Thirty-six patients were divided into two groups (Group A: 19 patients before SGX became commercially available, Group B: 17 patients after SGX became available). The dosage of SGX, time to extubate and time to discharge from operating rooms after surgery were extracted from anesthetic records retrospectively.

The mean dosage of SGX was 192 mg in 15 of the 17 patients in group B. Eight of the 19 patients in group A were extubated within 30 minutes. Five of the 19 were not extubated in the operating rooms. All 17 in group B were extubated within 30 minutes in the operating rooms.

SGX decreased the time to extubation after cesarean section under general anesthesia after surgery, and could improve the efficient management of operating rooms.