A colleague was approached and berated for giving a reversal after the patient had received Cis. They had 4 twitches back and it was end of the case. I know the metabolism of Cis and it seems to me that maybe it does not need to be reversed but we were also taught that for medical- legal reasons to always reverse if given a paralytic.
What are the thoughts current standards for reversing Cis? Besides medical-legal reasons is there a reason to reverse Cis? To be honest- I don't have a whole lot of experience with it but just wanted to get some more opinions.