Evidence map›Paper›PMID 40510709›Full record

ArticleNational journal of maxillofacial surgery

Reversing rocuronium-induced neuromuscular block by sugammadex: New safety horizon for Indian population.

Prashant Kumar, Kiranpreet Kaur, Suresh Kumar Singhal, Sumedha Vashishth, Manisha Manohar, Nidhi Bangarwa

Abstract read
In one paragraph

Article in National journal of maxillofacial surgery. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Prashant KumarDepartment of Anaesthesiology and Critical Care, Pt B D Sharma, PGIMS @ University of Health Sciences, Rohtak, Haryana, India.
Kiranpreet KaurDepartment of Anaesthesiology and Critical Care, Pt B D Sharma, PGIMS @ University of Health Sciences, Rohtak, Haryana, India.
Suresh Kumar SinghalDepartment of Anaesthesiology and Critical Care, Pt B D Sharma, PGIMS @ University of Health Sciences, Rohtak, Haryana, India.
Sumedha VashishthDepartment of Anaesthesiology and Critical Care, Pt B D Sharma, PGIMS @ University of Health Sciences, Rohtak, Haryana, India.
Manisha ManoharDepartment of Anaesthesiology and Critical Care, Pt B D Sharma, PGIMS @ University of Health Sciences, Rohtak, Haryana, India.
Nidhi BangarwaDepartment of Anaesthesiology and Critical Care, Pt B D Sharma, PGIMS @ University of Health Sciences, Rohtak, Haryana, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background & Aim: The study compared the efficacy of neostigmine and sugammadex in reversing rocuronium-induced neuromuscular blockade in patients undergoing surgery. The research aims to understand the drugs' benefits of safe reversal and impact in the diverse Indian population due to genetic, ethnic, lifestyle, and healthcare infrastructure differences. Methods: The prospective randomized double-blind study was conducted in 40 patients of either sex, aged 18-60 years, belonging to the American Society of Anesthesiologists physical status I-II scheduled for surgery under general anaesthesia requiring tracheal intubation. Patients in group S were given Sugammadex 2mgkg-1 [SugmadexTM by Varenyam Healthcare India] and group N were given Neostigmine 0.05mgkg-1 with glycopyrollate 0.02mgkg-1 for the reversal of rocuronium. Time to reach TOF ratio of 0.9, extubation time, Aldrete score, adverse events, and hemodynamic changes were monitored. Results: Both groups had comparable rocuronium doses and time to achieve 90% TOF ratio. However, sugammadex led to significantly faster extubation times (157.75 (97.33) [95% CI =61.0 - 414.50] sec) compared to neostigmine (341.50 (89.92) [95% CI =171.50 - 498.50] sec). Sugammadex was also associated with fewer adverse events and faster recovery based on the Aldrete score. Conclusion: In conclusion, sugammadex proved superior to neostigmine, providing rapid reversal, shorter extubation times, and fewer side effects in rocuronium-induced neuromuscular blockade. In post operative period patient population with facio maxilla surgery will get increased safety. These findings have implications not only for India but also for the global medical community.

Indexed as

Postoperative carereversal agentsugammadex

Identifiers

PMID40510709
PMCPMC12156865

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.