[Deep neuromuscular block in laparoscopic surgical interventions]

With the increasingly dynamic spread of laparoscopic surgical techniques and related robot-assisted surgery, interdisciplinary cooperation is becoming increasingly important for patient safety. In the last decade, more and more clinical observations have suggested that the use of a deep neuromuscular block for laparoscopic interventions can be beneficial because it enables the use of lower intra-abdominal pressures and does not adversely affect the surgical field of view. The lower intra-abdominal pressure applied during the procedure creates more favorable hemodynamic and respiratory mechanical conditions in the intraoperative period and also reduces the postoperative pain associated with the procedure. In our paper, we summarize the available evidence regarding the use of deep neuromuscular block and the conditions for its safe use. Orv Hetil. 2024; 165(52): 2039–2046.