Table 2.

Reports of failures of sugammadex in patients with myasthenia gravis

Reference	Patient demographics	Findings
Fernandes et al.[37]	27-year-old, 110 kg woman for laparoscopic cholecystectomy	Failure of reversal of neuromuscular blockade with sugammadex (800 mg).
Garcia et al.[38]	35-year-old, 80 kg woman for cesarian section.	Failure of reversal of neuromuscular blockade with sugammadex (200 mg).
Kiss et al.[39]	25-year-old woman for thymectomy.	Persistently low train-of-four (TOF) ratio despite sugammadex (16 mg/kg).
Sugi et al.[40]	26-year-old woman for thymectomy.	Sugammadex (total dose 4 mg/kg) failed to restore TOF to ≥0.55. Neostigmine (30 μg/kg) resulted in successful recovery of TOF.