CLINICAL ADMINISTRATION OF NEOSTIGMINE AND SUGAMMADEX VERSUS CURRENT EVIDENCE BASED GUIDELINES

The purpose of this quality improvement project aims to assess current practice at a large level one trauma center and compare it to the most recent clinical guidelines. With this data, the project will determine if anesthesia practitioners are following evidence based guidelines. It is essential providers follow clinical guidelines to ensure patients are not underdosed or overdosed when given neuromuscular reversal agents.
In patients aged 18 to 44 years undergoing laparoscopic abdominal surgeries requiring neuromuscular paralysis, how is neostigmine administered for neuromuscular blockade reversal at a large level one trauma center compared to current evidence based guidelines? This includes train of four count, weight-based dosing, and timing of extubation.