Student Research Symposium Program Portal: Submission #267

Abstract The use of neuromuscular blockade (NMB) is utilized frequently in many anesthetics. At the conclusion of the surgical procedure, reversal of these neuromuscular blocking agents is often required. The use of steroidal-based NMB agents allows for reversal with multiple different agents, with the most common agents being sugammadex or neostigmine co-administered with glycopyrrolate. Sugammadex is often recommended as the first line reversal agent for steroidal-based NMB, however some facilities limit its use due to its expense. While sugammadex remains an expensive drug at most facilities, its use has the potential to decrease operating room turnover time and preserve patient safety. The purpose of this project is to provide quality improvement by educating the anesthesia staff of a level III trauma center and acute-care hospital in Northern Florida on the reduction of operating room time seen with the use of sugammadex over neostigmine co-administered with glycopyrrolate. The follow PICO quest was used to search two databases: Do patients that receive neuromuscular blockade (P) who are reversed with sugammadex (I) compared to those reversed with neostigmine (C) experience less overall operating room time (O)? The results of this search were presented to the anesthesia staff as a poster. The use of both sugammadex and neostigmine was measured one week before and after the educational intervention by providing pre and post education surveys to the anesthesia staff. The results of this quality improvement study found no significant difference in sugammadex usage after educational intervention.