Introduction. This survey aimed to investigate the attitudes/practice pertaining the use, management, and monitoring of\nneuromuscular blockade amongst Singaporean anaesthetists. Methods. All specialist accredited anaesthetists registered with\nthe Singapore Medical Council were invited to complete an anonymous online survey. Results. The response rate was 39.5%.\nNeuromuscular monitoring (NM) was used routinely by only 13.1% despite the widespread availability of monitors. 82% stated\nresidual NMB (RNMB) was a significant risk factor for patient outcome, but only 24% believed NMB monitoring should be\ncompulsory in all paralyzed patients. 63.6% of anaesthetists estimated the risk of RNMB in their own institutions to be <5%.\n63.1% always gave reversal. Neostigmine was predominantly used (85.1%), with 28.2% using sugammadex at least sometimes, citing\nunavailability and high costs. However, 83.8% believed in sugammadex�s benefits for patients� safety and >50% said such benefits\nmay be able to offset the associated costs. Conclusions. There is a significant need for reeducation about RNMB, studies on local\nRNMB incidences, and strengthening of current monitoring practices and guidelines. Strategies are discussed. As NM monitors\nappear widely available and reversal of NMB standard practice, it is hopeful that Singaporean anaesthetists will change and strive\nfor evidence-based best clinical practice to enhance patient safety.
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