Peculiarities of Extubation in Obese Patients

The issue of choosing between spontaneous or pharmacological recovery of neuromuscular conduction (NMC) remains relevant due to the wide range of muscle relaxants with different detoxification and elimination mechanisms. Residual curarization after the completion of surgery and anesthesia increases the risk of postoperative pulmonary complications. Muscle relaxants are often administered during general anesthesia to facilitate endotracheal intubation. However, prolonged effects after the end of anesthesia can lead to breathing disturbances in the intensive care unit. Strategies to reduce these adverse effects include monitoring of neuromuscular blockade, the use of short-acting drugs, and active pharmacological reversal before extubation.