{"id":20,"date":"2023-09-04T20:51:40","date_gmt":"2023-09-04T20:51:40","guid":{"rendered":"https:\/\/www.merckconnect.com\/bridion\/?page_id=20"},"modified":"2025-07-29T12:28:48","modified_gmt":"2025-07-29T12:28:48","slug":"nmb-recovery-pediatric-patients","status":"publish","type":"page","link":"https:\/\/www.merckconnect.com\/bridion\/nmb-recovery-pediatric-patients\/","title":{"rendered":"Reversal of Neuromuscular Blockade (NMB) in Pediatric Patients"},"content":{"rendered":"<link rel='stylesheet' id='vivid360-heading-css-css' href='https:\/\/www.merckconnect.com\/bridion\/wp-content\/themes\/cex-wpvip-mhh-merck-vivid360-theme-1-12\/blocks\/heading\/css\/style.min.css?ver=1770880337' media='all' \/>\n\n<div class=\"vivid360-heading default-hcp-tablet-fontsize\" id=\"ace725a9e-b513-4500-9b8b-f1b49cfc29a1\"><h2 class=\"content-width fontWeightRegular\" style=\"--desktopFontSize:30px;--tabletFontSize:var(--h2FontSizeDesktop);--mobileFontSize:22px;--desktopLineHeightSize:45px;--tabletLineHeightSize:var(--h2LineHeightDesktop);--mobileLineHeightSize:\" id=\"top\"><strong><strong>Efficacy for BRIDION<sup>\u00ae<\/sup>&nbsp;(sugammadex)<\/strong><\/strong><\/h2><\/div>\n\n\n\n<div class=\"vivid360-heading default-hcp-tablet-fontsize\" id=\"acb3848fa-aa0b-43ea-af5f-33a3e8b8ff97\"><h1 class=\"content-width fontWeightRegular\" style=\"--desktopFontSize:24px;--tabletFontSize:var(--h1FontSizeDesktop);--mobileFontSize:18px;--desktopLineHeightSize:36px;--tabletLineHeightSize:var(--h1LineHeightDesktop);--mobileLineHeightSize:\" id=\"\"><strong>Recovery in pediatric patients<\/strong><\/h1><\/div>\n\n\n\n<div class=\"vivid360-heading\" id=\"a8a9d3a51-ca0d-454b-aed4-08a51b50e009\"><h3 class=\"content-width fontWeightBold\" style=\"--desktopFontSize:var(--h3FontSizeDesktop);--tabletFontSize:var(--h3FontSizeDesktop);--mobileFontSize:var(--h3FontSizeMobile);--desktopLineHeightSize:var(--h3LineHeightDesktop);--tabletLineHeightSize:var(--h3LineHeightDesktop);--mobileLineHeightSize:\" id=\"\">Recovery from rocuronium- or vecuronium-induced NMB in pediatric patients aged 2 to &lt;17 years of age.<\/h3><\/div>\n\n\n\n<p>In a study of randomized pediatric patients 2 to &lt;17 years of age (n=288), BRIDION (vs neostigmine) demonstrated statistically faster recovery to a TOF ratio of \u22650.9 from moderate NMB (reappearance of T<sub>2<\/sub>).<sup>1<\/sup><\/p>\n\n\n<link rel='stylesheet' id='vivid360-spacer-css-css' href='https:\/\/www.merckconnect.com\/bridion\/wp-content\/themes\/cex-wpvip-mhh-merck-vivid360-theme-1-12\/blocks\/spacer\/css\/style.min.css?ver=1770880337' media='all' \/>\n\n<div style=\"background-color:transparent;height:16px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-16\"><\/div>\n\n\n\n<p>These effects were consistent across age cohorts studied (2 to &lt;6; 6 to &lt;12; 12 to &lt;17 years of age) and NMBA (rocuronium and vecuronium).<sup>1<\/sup><\/p>\n\n\n\n<div style=\"background-color:transparent;height:16px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-16\"><\/div>\n\n\n\n<div class=\"vivid360-heading\" id=\"a4104aa8b-ffd4-4a6d-bafb-edde47a5918b\"><h3 class=\"content-width fontWeightRegular\" style=\"--desktopFontSize:var(--h3FontSizeDesktop);--tabletFontSize:var(--h3FontSizeDesktop);--mobileFontSize:var(--h3FontSizeMobile);--desktopLineHeightSize:var(--h3LineHeightDesktop);--tabletLineHeightSize:var(--h3LineHeightDesktop);--mobileLineHeightSize:\" id=\"\">Primary efficacy objective: time from start of BRIDION or neostigmine administration to recovery of a TOF ratio \u22650.9<\/h3><\/div>\n\n\n\n<div style=\"background-color:transparent;height:16px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-16\"><\/div>\n\n\n<link rel='stylesheet' id='vivid360-image-module-css-css' href='https:\/\/www.merckconnect.com\/bridion\/wp-content\/themes\/cex-wpvip-mhh-merck-vivid360-theme-1-12\/blocks\/image-module\/css\/style.min.css?ver=1774422151' media='all' \/>\n\n<div id=\"\" class=\"wp-block-vivid360-image-module ratio-30-70 content-above two-col left top full-page-width\"><div class=\"vivid360-block-image-module__content-wrapper content-align-left\" id=\"contentDiv\"><\/div><figure class=\"vivid360-block-image-module__image-container\"><picture><source media=\"(max-width: 767px)\" data-srcset=\"https:\/\/www.merckconnect.com\/bridion\/wp-content\/uploads\/sites\/135\/2023\/09\/CAT-BRIDION_ClinincalData-Pediatric_page-MOBILE.svg?w=767\"\/><source media=\"(min-width: 768px) and (max-width: 1440px)\" data-srcset=\"https:\/\/www.merckconnect.com\/bridion\/wp-content\/uploads\/sites\/135\/2023\/09\/CAT-BRIDION_ClinincalData-Pediatric_page.svg?w=1440\"\/><img decoding=\"async\" data-src=\"https:\/\/www.merckconnect.com\/bridion\/wp-content\/uploads\/sites\/135\/2023\/09\/CAT-BRIDION_ClinincalData-Pediatric_page.svg\" src=\"https:\/\/www.merckconnect.com\/bridion\/wp-content\/uploads\/sites\/135\/2023\/09\/CAT-BRIDION_ClinincalData-Pediatric_page.svg\" alt=\"Geometric mean time from start of BRIDION or neostigmine administration to recovery of a TOF ratio \u22650.9 in pediatric patients from moderate block.\"\/><\/picture><figcaption class=\"caption-right noCaptionText\" id=\"figcaption\"><p class=\"caption-title vivid360-block-image-module__caption\" style=\"--captionFontSize:14px;--captionFontSizeTablet:14px;--captionFontSizeMobile:14px\"><\/p><\/figcaption><\/figure><\/div>\n\n\n\n<div class=\"vivid360-heading\" id=\"a344c2675-8d05-4fd5-8edc-f132d38e507d\"><h4 class=\"content-width fontWeightRegular\" style=\"--desktopFontSize:var(--h4FontSizeDesktop);--tabletFontSize:var(--h4FontSizeDesktop);--mobileFontSize:var(--h4FontSizeMobile);--desktopLineHeightSize:var(--h4LineHeightDesktop);--tabletLineHeightSize:var(--h4LineHeightDesktop);--mobileLineHeightSize:\" id=\"\"><strong>Study design<sup>1<\/sup><\/strong><\/h4><\/div>\n\n\n\n<p>Time to recovery from neuromuscular blockade induced by rocuronium or vecuronium followed by administration of BRIDION or neostigmine was assessed in a randomized, double-blind, active comparator-controlled study. The study was conducted in 288 randomized pediatric patients 2 to &lt;17 years of age, of which 276 patients received treatment (153 boys and 123 girls; ASA class 1, 2, and 3; 89.5% were Caucasian; median weight was 25 kg; median age was 7 years). The primary efficacy objective was to evaluate the effect of BRIDION compared to neostigmine for reversal of moderate neuromuscular blockade as measured by time to recovery to a TOF ratio of \u22650.9.<\/p>\n\n\n\n<div style=\"background-color:transparent;height:48px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-48\"><\/div>\n\n\n\n<div class=\"vivid360-heading\" id=\"a6d5cc15f-ced2-4060-bfda-2f9af292576c\"><h3 class=\"content-width fontWeightBold\" style=\"--desktopFontSize:var(--h3FontSizeDesktop);--tabletFontSize:var(--h3FontSizeDesktop);--mobileFontSize:var(--h3FontSizeMobile);--desktopLineHeightSize:var(--h3LineHeightDesktop);--tabletLineHeightSize:var(--h3LineHeightDesktop);--mobileLineHeightSize:\" id=\"\">Recovery from rocuronium- or vecuronium-induced NMB in pediatric patients from birth to &lt;2 years old.<\/h3><\/div>\n\n\n\n<p>In a study of randomized pediatric patients from birth to &lt;2 years of age (n=145), BRIDION (vs neostigmine) demonstrated statistically faster recovery from moderate NMB.<\/p>\n\n\n\n<div style=\"background-color:transparent;height:16px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-16\"><\/div>\n\n\n\n<p>These effects were consistent across age cohorts studied (birth to 27 days, 28 days to &lt;3 months, 3 months to &lt;6 months, 6 months to &lt;2 years of age).<\/p>\n\n\n\n<div style=\"background-color:transparent;height:16px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-16\"><\/div>\n\n\n\n<div class=\"vivid360-heading\" id=\"ab9ff0876-6ba0-4cb8-ba74-23a0f35b693b\"><h3 class=\"content-width fontWeightRegular\" style=\"--desktopFontSize:var(--h3FontSizeDesktop);--tabletFontSize:var(--h3FontSizeDesktop);--mobileFontSize:var(--h3FontSizeMobile);--desktopLineHeightSize:var(--h3LineHeightDesktop);--tabletLineHeightSize:var(--h3LineHeightDesktop);--mobileLineHeightSize:\" id=\"\">Primary efficacy objective: time from start of BRIDION or neostigmine administration to recovery from moderate NMB<\/h3><\/div>\n\n\n\n<div style=\"background-color:transparent;height:16px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-16\"><\/div>\n\n\n\n<div id=\"\" class=\"wp-block-vivid360-image-module ratio-30-70 content-above two-col left top full-page-width\"><div class=\"vivid360-block-image-module__content-wrapper content-align-left\" id=\"contentDiv\"><\/div><figure class=\"vivid360-block-image-module__image-container\"><picture><source media=\"(max-width: 767px)\" data-srcset=\"https:\/\/www.merckconnect.com\/bridion\/wp-content\/uploads\/sites\/135\/2025\/03\/CAT-BRIDION_ClinincalData-Pediatric_page-medianbirth.svg?w=767\"\/><source media=\"(min-width: 768px) and (max-width: 1440px)\" data-srcset=\"https:\/\/www.merckconnect.com\/bridion\/wp-content\/uploads\/sites\/135\/2025\/03\/CAT-BRIDION_ClinincalData-Pediatric_page-medianbirth.svg?w=1440\"\/><img decoding=\"async\" data-src=\"https:\/\/www.merckconnect.com\/bridion\/wp-content\/uploads\/sites\/135\/2025\/03\/CAT-BRIDION_ClinincalData-Pediatric_page-medianbirth.svg\" src=\"https:\/\/www.merckconnect.com\/bridion\/wp-content\/uploads\/sites\/135\/2025\/03\/CAT-BRIDION_ClinincalData-Pediatric_page-medianbirth.svg\" alt=\"Ratio of Geometric Means in Pediatric Patients From Birth to\"\/><\/picture><figcaption class=\"caption-right noCaptionText\" id=\"figcaption\"><p class=\"caption-title vivid360-block-image-module__caption\" style=\"--captionFontSize:14px;--captionFontSizeTablet:14px;--captionFontSizeMobile:14px\"><\/p><\/figcaption><\/figure><\/div>\n\n\n\n<div class=\"vivid360-heading\" id=\"a6b8a433c-230a-4fcb-b5c7-62aca81de2af\"><h4 class=\"content-width fontWeightRegular\" style=\"--desktopFontSize:var(--h4FontSizeDesktop);--tabletFontSize:var(--h4FontSizeDesktop);--mobileFontSize:var(--h4FontSizeMobile);--desktopLineHeightSize:var(--h4LineHeightDesktop);--tabletLineHeightSize:var(--h4LineHeightDesktop);--mobileLineHeightSize:\" id=\"\"><strong>Study design<\/strong><\/h4><\/div>\n\n\n\n<p>Time to recovery from neuromuscular blockade induced by rocuronium or vecuronium followed by administration of BRIDION or neostigmine was assessed in a randomized, double-blind, active comparator-controlled study. The study was conducted in 145 randomized pediatric patients from birth to &lt;2 years of age, of which 138 patients received treatment (92 boys and 46 girls; ASA class 1, 2, and 3; 68% were White; median weight was 5.8 kg; median age was 100.5 days). The primary efficacy objective was to evaluate the time to neuromuscular recovery of BRIDION in comparison to neostigmine for the reversal of moderate neuromuscular blockade.<\/p>\n\n\n\n<div style=\"background-color:transparent;height:16px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-16\"><\/div>\n\n\n\n<div class=\"vivid360-heading default-hcp-fontsize default-hcp-tablet-fontsize default-hcp-mobile-fontsize\" id=\"a1fd6714c-e4ca-4989-ac0e-f91b49faf3da\"><h2 class=\"content-width fontWeightRegular\" style=\"--desktopFontSize:var(--h2FontSizeDesktop);--tabletFontSize:var(--h2FontSizeDesktop);--mobileFontSize:var(--h2FontSizeMobile);--desktopLineHeightSize:var(--h2LineHeightDesktop);--tabletLineHeightSize:var(--h2LineHeightDesktop);--mobileLineHeightSize:\" id=\"\"><strong>Abbreviations<\/strong><\/h2><\/div>\n\n\n<link rel='stylesheet' id='vivid360-list-css-css' href='https:\/\/www.merckconnect.com\/bridion\/wp-content\/themes\/cex-wpvip-mhh-merck-vivid360-theme-1-12\/blocks\/list\/css\/style.min.css?ver=1770880337' media='all' \/>\n\n<div class=\"vivid-block-list content-width  default-list block-76a76f45-53cf-4752-a0af-4efa8f6ac7be\" data-image=\"\" data-image-mobile=\"\" data-image-all=\"\" data-image-all-mobile=\"\" data-icon-color=\"#333\" data-text-color=\"#333\" data-client-id=\"block-76a76f45-53cf-4752-a0af-4efa8f6ac7be\"><ul class=\"first-level\"><li><span style=\"font-family: -apple-system, BlinkMacSystemFont, &quot;Segoe UI&quot;, Roboto, Oxygen-Sans, Ubuntu, Cantarell, &quot;Helvetica Neue&quot;, sans-serif;\">ASA = American Society of Anesthesiologists<\/span><\/li><li>CI = confidence interval<\/li><li>NMB = neuromuscular blockade<\/li><li>NMBA = neuromuscular blocking agent<\/li><li>TOF = train-of-four<\/li><\/ul><\/div>\n\n\n\n<div style=\"background-color:transparent;height:16px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-16\"><\/div>\n\n\n\n<div class=\"vivid360-heading\" id=\"abdf9b7ce-8bc2-4174-81e4-49d5b3f2789f\"><h3 class=\"content-width fontWeightRegular\" style=\"--desktopFontSize:18px;--tabletFontSize:var(--h3FontSizeDesktop);--mobileFontSize:var(--h3FontSizeMobile);--desktopLineHeightSize:27px;--tabletLineHeightSize:var(--h3LineHeightDesktop);--mobileLineHeightSize:\" id=\"\">Reference<\/h3><\/div>\n\n\n\n<div class=\"vivid-block-list content-width  block-f75c11d1-8006-4c72-b4bf-4810162de8ac\" data-image=\"\" data-image-mobile=\"\" data-image-all=\"\" data-image-all-mobile=\"\" data-icon-color=\"#333\" data-text-color=\"#333\" data-client-id=\"block-f75c11d1-8006-4c72-b4bf-4810162de8ac\"><ol class=\"first-level default-order\"><li>Voss T, Wang A, DeAngelis M, et al. Sugammadex for reversal of neuromuscular blockade in pediatric patients: Results from a phase IV randomized study.&nbsp;<em>Pediatric Anesthesia.<\/em>&nbsp;2022;32:436-445. DOI: 10.1111\/pan.14370<\/li><\/ol><\/div>\n\n\n\n<div style=\"background-color:transparent;height:32px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-32\"><\/div>\n\n\n\n<p><a href=\"#top\" aria-label=\"#\">Back to top<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>In a study of randomized pediatric patients 2 to &lt;17 years of age (n=288), BRIDION (vs neostigmine) demonstrated statistically faster recovery to&#8230;<\/p>\n","protected":false},"author":444,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"_trash_the_other_posts":false,"editor_notices":[],"footnotes":""},"ga4_page_audience":[],"ga4_page_birn_id":[],"ga4_page_branding":[267],"ga4_page_businessunit":[],"ga4_page_campaign":[],"ga4_page_content_purpose":[281],"ga4_page_customer_journey_stage":[325],"ga4_page_customer_specialty":[334],"ga4_page_experience":[],"ga4_page_indication":[],"ga4_page_material_intent":[530],"ga4_page_product":[773],"ga4_page_region":[888],"ga4_page_therapeuticarea":[],"user_role":[],"mhh-area-of-interest":[],"access":[],"user_status":[],"class_list":["post-20","page","type-page","status-publish"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Reversal of Neuromuscular Blockade (NMB) in Pediatric Patients<\/title>\n<meta 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