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Clinical Tools

Reversal Agents

Dosing for neuromuscular blockade reversal agents including sugammadex and neostigmine.

kg

Sugammadex (moderate block)

2 mg/kg

Moderate block (reappearance of T2)

Sugammadex (deep block)

4 mg/kg

Deep block (PTC 1-2)

Sugammadex (immediate reversal)

16 mg/kg

Immediate reversal after rocuronium

Neostigmine

0.03 – 0.07 mg/kg

Max 5 mg. Give with glycopyrrolate 0.2 mg per 1 mg neostigmine.