Cisatracurium is primarily used in medical settings as a neuromuscular blocking agent during surgical procedures. It helps to induce muscle relaxation, which is essential for facilitating endotracheal intubation and ensuring optimal surgical conditions. Its intermediate duration of action makes it suitable for various types of surgeries, ranging from short to moderately long procedures. Additionally, it is often preferred for patients with compromised liver or kidney function, as its metabolism is independent of these organs, reducing the risk of prolonged effects. Cisatracurium is also used in intensive care units to manage patients requiring mechanical ventilation, aiding in reducing muscle resistance and improving ventilator synchrony. Its minimal histamine release further minimizes the risk of adverse reactions, making it a safer choice for patients with cardiovascular or respiratory conditions.