Atracurium besylate is a non-depolarizing neuromuscular blocking agent used as an adjunct to general anesthesia to facilitate endotracheal intubation and provide skeletal muscle relaxation during surgery or mechanical ventilation. It lacks significant cardiovascular effects and does not require kidney function for elimination, offering advantages over other non-depolarizing agents. Atracurium besylate works by competitively binding to cholinergic receptor sites at the motor end-plate, antagonizing the action of acetylcholine, and this antagonism can be reversed by acetylcholinesterase inhibitors like neostigmine. It has a short duration of action and half-life of 20 minutes.