title: A miracle that accelerates operating room functionality: sugammadex.
abstract: BACKGROUND
  Sugammadex offers a good alternative to the conventional decurarisation process currently performed with cholinesterase inhibitors. Sugammadex, which was developed specifically for the aminosteroid-structured rocuronium and vecuronium neuromuscular blockers, is a modified cyclodextrin made up of 8 glucose monomers arranged in a cylindrical shape.
  
  
  METHODS
  In this study, the goal was to investigate the efficacy of sugammadex. Sugammadex was used when there was insufficient decurarisation following neostigmine. This study was performed on 14 patients who experienced insufficient decurarisation (TOF <0.9) with neostigmine after general anaesthesia in the operating rooms of a university and a state hospital between June, 2012, and January, 2014. A dose of 2 mg/kg of sugammadex was administered.
  
  
  RESULTS
  Time elapsed until sugammadex administration following neostigmine 37 ± 6 min, following sugammadex it took 2.1 ± 0.9 min to reach TOF ≥0.9, and the extubation time was 3.2 ± 1.4 min. No statistically significant differences were detected in the hemodynamic parameters before and after sugammadex application. From the time of administration of sugammadex to the second postoperative hour, no side effects or complications occurred. None of the patients experienced acute respiratory failure or residual block during this time period.
  
  
  CONCLUSIONS
  Sugammadex was successfully used to reverse rocuronium-induced neuromuscular block in patients where neostigmine was insufficient.
authors.affiliation: Department of Anesthesiology and Reanimation, Faculty of Medicine, Dicle University Medical School, Diyarbakir, Turkey.
authors.forename: Erdal
authors.initials: E
authors.lastname: Dogan
authors.affiliation: The Education and İnvestigation Hospital of Diyarbakir, Turkey.
authors.forename: Mehmet Salim
authors.initials: MS
authors.lastname: Akdemir
authors.affiliation: Department of Anesthesiology and Reanimation, Faculty of Medicine, Dicle University Medical School, Diyarbakir, Turkey.
authors.forename: Abdulmenap
authors.initials: A
authors.lastname: Guzel
authors.affiliation: The Pediatrics Hospital of Diyarbakir, Turkey.
authors.forename: Mehmet Besir
authors.initials: MB
authors.lastname: Yildirim
authors.affiliation: Department of Anesthesiology and Reanimation, Faculty of Medicine, Dicle University Medical School, Diyarbakir, Turkey.
authors.forename: Zeynep Baysal
authors.initials: ZB
authors.lastname: Yildirim
authors.affiliation: The Education and İnvestigation Hospital of Diyarbakir, Turkey.
authors.forename: Mahir
authors.initials: M
authors.lastname: Kuyumcu
authors.affiliation: Tatvan State Hospital, Bitlis, Turkey.
authors.forename: Abdurrahman
authors.initials: A
authors.lastname: Gümüş
authors.affiliation: The Education and İnvestigation Hospital of Diyarbakir, Turkey.
authors.forename: Hakan
authors.initials: H
authors.lastname: Akelma
mesh_terms: D001794:Blood Pressure / Q000187:drug effects; D003710:Demography; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009388:Neostigmine / Q000008:administration & dosage / Q000494:pharmacology; D009873:Operating Rooms; D011674:Pulse; D000077122:Sugammadex; D013997:Time Factors; D047408:gamma-Cyclodextrins / Q000008:administration & dosage / Q000494:pharmacology*
chemical_list: D047408:gamma-Cyclodextrins; D000077122:Sugammadex; D009388:Neostigmine