Postoperative residual block and complications [Postoperati̇f rezi̇düel blok ve kompli̇kasyonlari]

In general anesthesia practice the neuromuscular blockers are being widely used for endotracheal intubation and intraoperative muscle relaxation. however,it should not be neglected that they might also have severe side effects. one of those side effects is postoperative residual block (porb) which is a state of postoperative paralysis when these agents are used. this could cause serious complications like aspiration of gastric content,airway obstruction and respiratory depression. in order to prevent porb,objective and quantitative neuromuscular junction monitorisation before extubation is required. for the protection of the airway a tof value of >0.9 is necessary. not only to rapidly reverse the effects of muscle relaxants,but also to manage porb at the end of the surgical procedure,agents that reverse the effects of muscle relaxants like asetilcholine esterase inhibitors or sugammadex are being used.