The Neuromuscular Effect of Rocuronium in Patient
Study Details
Study Description
Brief Summary
Rocuronium block neuromuscular transmission at the neuromuscular junction, causing paralysis of the affected skeletal muscles. There have been several studies reported positive relationship between muscle mass and amount of neuromuscular junction. The purpose of this study is to find 50% effective dose and 95% effective dose of rocuronium according to muscle mass.
Condition or Disease | Intervention/Treatment | Phase |
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N/A |
Detailed Description
Rocuronium block neuromuscular transmission at the neuromuscular junction, causing paralysis of the affected skeletal muscles. There have been several studies reported positive relationship between muscle mass and amount of neuromuscular junction. Until now, dose of rocuronium has been judged by patient's weight and height. When the rocuronium was developed, 50% effective dose and 95% effective dose of rocuronium was calculated by patient corrected body weight which used weight and height. However, height and weight do not represent exact muscle mass. The purpose of this study is to find 50% effective dose and 95% effective dose of rocuronium according to muscle mass. Measurement of muscle mass will be obtained using bioelectrical impedence analysis.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Experimental: rocuronium 1 Participant measure muscle mass by bioelectrical impedance analysis (Inbody 720, Inbody, Seoul, Korea) and the dose of rocuronium is 0.24mg per muscle mass(kg). |
Device: Inbody
Participant measure muscle mass by bioelectrical impedance analysis (Inbody 720, Inbody, Seoul, Korea) after fast for eight hours.
Drug: Rocuronium
The individual dose method was used for the determination of the dose response of rocuronium. After induction of anesthesia, four groups of 40 patients each received randomly one of the four doses of rocuronium ( 0.24, 0.32, 0.40, 0.48mg/muscle mass(kg))
Other Names:
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Experimental: rocuronium 2 Participant measure muscle mass by bioelectrical impedance analysis (Inbody 720, Inbody, Seoul, Korea) and the dose of rocuronium is 0.32mg per muscle mass(kg). |
Device: Inbody
Participant measure muscle mass by bioelectrical impedance analysis (Inbody 720, Inbody, Seoul, Korea) after fast for eight hours.
Drug: Rocuronium
The individual dose method was used for the determination of the dose response of rocuronium. After induction of anesthesia, four groups of 40 patients each received randomly one of the four doses of rocuronium ( 0.24, 0.32, 0.40, 0.48mg/muscle mass(kg))
Other Names:
|
Experimental: rocuronium 3 Participant measure muscle mass by bioelectrical impedance analysis (Inbody 720, Inbody, Seoul, Korea) and the dose of rocuronium is 0.40mg per muscle mass(kg). |
Device: Inbody
Participant measure muscle mass by bioelectrical impedance analysis (Inbody 720, Inbody, Seoul, Korea) after fast for eight hours.
Drug: Rocuronium
The individual dose method was used for the determination of the dose response of rocuronium. After induction of anesthesia, four groups of 40 patients each received randomly one of the four doses of rocuronium ( 0.24, 0.32, 0.40, 0.48mg/muscle mass(kg))
Other Names:
|
Experimental: rocuronium 4 Participant measure muscle mass by bioelectrical impedance analysis (Inbody 720, Inbody, Seoul, Korea) and the dose of rocuronium is 0.48mg per muscle mass(kg). |
Device: Inbody
Participant measure muscle mass by bioelectrical impedance analysis (Inbody 720, Inbody, Seoul, Korea) after fast for eight hours.
Drug: Rocuronium
The individual dose method was used for the determination of the dose response of rocuronium. After induction of anesthesia, four groups of 40 patients each received randomly one of the four doses of rocuronium ( 0.24, 0.32, 0.40, 0.48mg/muscle mass(kg))
Other Names:
|
Outcome Measures
Primary Outcome Measures
- percentage of neuromuscular block [ten minutes]
percentage of neuromuscular block is calculated by ratio of T1 to T4. T1 is result of first stimulation and T4 is result of fourth stimulation which are obtained by commonly used neuromuscular monitoring device.
Secondary Outcome Measures
- onset time [ten minutes]
time from the end of injection of rocuronium until the maximal depression of T1 which is result of first twitch
Other Outcome Measures
- lag time [ten minutes]
time from the end of injection of rocuronium until the first depression of the twitch response
Eligibility Criteria
Criteria
Inclusion Criteria:
- All patient who undergo general anesthesia
Exclusion Criteria:
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Liver and kidney disease
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Any types of muscle disorder.
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Metal materials or pacemaker in body
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | Korea university anam hospital | Seoul | Korea, Republic of | 02841 |
Sponsors and Collaborators
- Go Eun Bae
Investigators
- Study Director: Go eun Bae, M.D., Korea University Anam Hospital
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- Inbody2