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NOVEMBER 1, 2017

Despite Availability of Rapid Reversal, Judgment Still Paramount

To the Editor

By William Rosenblatt, MD

I read with some concern the case report, “Immediate Rescue Emergence With IV Sugammadex” (Anesthesiology News Airway Management 2017;10:126-127). In this report, induction of anesthesia in a patient undergoing an MRI study resulted in a cannot-intubate, cannot-oxygenate (CICO) situation.

First, I applaud the managers of this case for their persistence in sticking to the recommendations of the ASA Difficult Airway Algorithm and, in many