Randomized Trialhigh evidence
Sugammadex versus neostigmine for reversal of neuromuscular blockade and postoperative pulmonary complications (SNaPP): an international, randomised, controlled, phase 4 trial.
The Lancet. Respiratory medicine·June 9, 2026·PMID 42263720
Why it mattersThis large pragmatic trial provides high-level evidence that sugammadex may modestly reduce postoperative pulmonary complications, primarily atelectasis, in high-risk surgical patients. Anesthesiologists now have comparative effectiveness data to guide reversal agent selection.

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