We have identified several case reports in the literature where Sugammadex has successfully been used for airway rescue. Please let us know of any more:
A recent editorial of the 2015 Difficult Airway Society Guidelines published in Anaesthesia states: ‘No longer should Sugammadex be kept hidden away centrally in some locked cupboard, but available immediately to hand in the anaesthetic/operating room.’
We know of case reports where Sugammadex has been unsuccessful for airway rescue. Several factors appear to contribute – mechanical (as opposed to functional) airway obstruction, residual anaesthetic agents (opioids, hypnotics, volatiles, induction agents), time delays to obtaining and underdosing of Sugammadex.
It is important that clinicians are aware that Sugammadex will not rescue all failed airway events and that each case is assessed individually.