Residual postoperative paralysis from nondepolarizing neuromuscular blocking agents is a known problem. This paralysis has been associated with impaired respiratory function. In this issue of Anesthesiology, Bulka et al. demonstrate that intraoperative use of intermediate neuromuscular blocking agents is associated with developing pneumonia after surgery. Those patients that receive these agents but do not receive reversal agents have an associated increased risk of postoperative pneumonia.

  • Bulka et al.: Nondepolarizing Neuromuscular Blocking Agents, Reversal, and Risk of Postoperative Pneumonia, p. 647

  • Murphy and Kopman: “To Reverse or Not to Reverse?” The Answer Is Clear!, p. 611