A variety of
surgeries need profound muscular block solely in an exceedingly restricted
surgical field. Recent accessibility of sugammadex, a cyclodextrin
derivative antitoxic substance active on an amino steroid muscle relaxant,
has offered the likelihood of maintaining a prolonged deep neuromuscular
paralysis with a rapid reversal at the end of surgery.
As a consequence,
complete post anesthesia recovery is often rapidly obtained under safe clinical
conditions.
However, in
selected patients, a muscle relaxant can be locally injected at low doses in
one or more muscles concerned within the surgical technique without a systemic
paralysis.
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