How Much Neostigmine Should I Give My Patient?

If a patient has had no neuromuscular blockade for three or four hours they have four strong twitches tetanus with no fade you don't want to give them a full dose of reversal because you can paradoxically cause weakness by giving them too much. For someone who fits that bill it actually works really well and doesn't carry that risk of causing post-operative delirium so 1 cc 2 cc is a propofol in pre-op can actually provide some anxiolysis without apnea withoutWithout tachycardia I wouldn't do it without your attending being willing, but then the last thing I'll say is for induction Propofol is not the only option I