Abstract
The purpose of this chapter is to provide a brief review of the literature around the relationship between the use of neuromuscular blocking drugs and subsequent postoperative pulmonary complications. A recent series of retrospective studies evaluating the use of neuromuscular blocking agents and postoperative complications have demonstrated growing evidence for a clear relationship between the use of the agents and downstream complications. The frequency of postoperative respiratory problems seems to be mitigated to some degree through the appropriate use of reversal agents. Care should be exercised when administering neuromuscular blocking agents during surgical procedures. Appropriate monitoring of neuromuscular transmission should be used along with a strategy to provide adequate reversal at the end of the surgical procedure.
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