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Furthermore, although the incidence of PPCs varies according to its definition, surgery type, and patient population, they can lead to increased morbidity, mortality, duration of hospitalization, and medical costs; thus, efforts to identify and reduce the risk factors are important to improve patient outcomes. Among the risk factors for PPCs, residual neuromuscular block is a representative and preventable anesthesia-related risk factor that is affected by the choice of the reversal agent. However, it is not clear whether the chosen reversal agent, i.e., sugammadex, reduces PPCs better when compared to anticholinesterases. Additionally, the effects of the reversal agents on PPCs in high-risk patients, such as elderly patients, pediatric patients, those with end-stage renal disease, obesity, obstructive sleep apnea, or those undergoing specific surgeries, are diverse. To reduce the PPCs associated with the use of neuromuscular blocking agents, it is important to confirm complete reversal of the neuromuscular block under neuromuscular monitoring. Additionally, efforts to reduce the incidence of PPCs through interdisciplinary communication are required.<\/jats:p>","DOI":"10.17085\/apm.22146","type":"journal-article","created":{"date-parts":[[2022,4,22]],"date-time":"2022-04-22T01:28:57Z","timestamp":1650590937000},"page":"121-131","update-policy":"https:\/\/doi.org\/10.17085\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Choice of neuromuscular block reversal agent to reduce postoperative pulmonary complications"],"prefix":"10.17085","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1519-3787","authenticated-orcid":true,"given":"Sung-Ae","family":"Cho","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0714-1477","authenticated-orcid":true,"given":"Tae-Yun","family":"Sung","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2573","reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1093\/bjaed\/mkx012"},{"key":"ref2","first-page":"284","volume-title":"Incidence and risk factors for postoperative pulmonary complications in patients undergoing thoracic and abdominal surgeries","author":"de \u00c1vila","year":"2017"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/aex002"},{"key":"ref4","first-page":"458","volume-title":"PERISCOPE group. 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