Use of neuromuscular blocking agents in obstetric anesthesiology: a comprehensive literature review

The use of neuromuscular blocking agents (NMBAs) in obstetric anesthesiology plays a pivotal role in airway management during surgical interventions, particularly cesarean section under general anesthesia. This review analyzes pharmacological profiles, clinical indications, maternal safety, and fetal outcomes of NMBA use in pregnancy. Recent evidence demonstrates that, when properly monitored, NMBAs are safe and ef- fective. Furthermore, the introduction of sugammadex has signif- icantly enhanced maternal safety by enabling rapid and predictable reversal of rocuronium-induced neuromuscu- lar block.