Residual Paralysis and Reversal With Routine Neostigmine Versus Half-dose Sugammadex and Routine Neostigmine

Inclusion Criteria: * Inclusion criteria: * 40 and 65 years of age, * American Society of Anesthesiologists Physical Status (ASA-PS) of 3 and 4, * Elective lower gastrointestinal tumor resection surgeries, * Supine positioning, * Surgery requiring use of general anesthesia and muscle relaxation, * Use of inhalational agent of sevoflurane anesthesia, * Surgical duration of about three to six hours. Exclusion Criteria: * History of known or suspected neuromuscular disease, * History of renal or hepatic dysfunction, * Hyperkalemia, * Patients receiving antibiotics, anticonvulsants, or magnesium, * History of stroke, * History of glaucoma, * History of pregnancy or breastfeeding, * Suspicion of abdominal infection or sepsis, * Suspected history of malignant hyperthermia, * An allergy to medications used during general anesthesia