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Sugammadex has been reported to be an effective and safe reversal of rocuronium\u2010induced neuromuscular block (NMB) during surgery. This study investigated the feasibility and clinical effectiveness of sugammadex for NMB reversal during FNM in Parotid surgery.<\/jats:p><jats:p>Fifty patients undergoing parotid surgery were randomized allocated into conventional anesthesia group (Group C, n\u2009=\u200925) and sugammadex group (Group S, n\u2009=\u200925). Group C did not receive any NMBA. Group S received rocuronium 0.6\u2009mg\/kg at anesthesia induction and sugammadex 2\u2009mg\/kg at skin incision. The intubating condition and influence on FNM evoked EMG results were compared between groups. The intubation condition showed significantly better in group S patients than C group patients (excellent in 96% v.s. 24%). In group S, rapid reverse of NMB was found and the twitch (%) recovered from 0 to &gt;90% within 10\u2009min. Positive and high EMG signals were obtained in all patients at the time point of initial facial nerve stimulation in both groups. There was no significant difference as comparing the EMG amplitudes detected at the time point of initial and final facial nerve stimulation in both groups. Implementation of sugammadex in anesthesia protocol is feasible and reliable for successful FNM during parotid surgery.<\/jats:p><\/jats:sec>","DOI":"10.1016\/j.kjms.2017.06.002","type":"journal-article","created":{"date-parts":[[2017,7,8]],"date-time":"2017-07-08T12:45:20Z","timestamp":1499517920000},"page":"400-404","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":12,"title":["The feasibility of sugammadex for general anesthesia and facial nerve monitoring in patients undergoing parotid 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