Commercial syringes of atropine: A cost-effective option in the operating room?

Atropine is commonly administered when sinus bradycardia occurs in the operating room. It can also be administered to block muscarinic effects when neostigmine is used to counteract muscle relaxants. Timely administration of atropine plays a critical role in the management of sinus bradycardia. Syringes of atropine are usually prepared ahead of time to minimize the time to injection. If not administered, those standard syringes are discarded. Prefilled syringes of atropine have been commercialized in order to decrease the rate of wastage of standard syringes. However, commercial syringes are very expensive compared to ampoules.