Sugammadex2: Recovery After Sugammadex(Propofol vs Sevoflurane)
Study Details
Study Description
Brief Summary
Sugammadex is used to reverse of a neuro-muscular block deep. It has been reported that its administration could induce signs of recovery despite continuation of anesthetic drugs. The goal of the present study is to look is the arte of this event is different according to the primary anesthetic agent used.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
Phase 4 |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Active Comparator: Propofol-Remifentanil Anesthesia is maintained with Propofol and Remifentanil; myorelaxation is obtained with rocuronium |
Drug: Sugammadex
sugammadex
4 mg/kg : if there is no response to Train of Four stimulations and at least one response to the Post Tetanic Count
2 mg/kg : if there is at least two responses to Train of Four stimulations
|
Active Comparator: Sevoflurane-Remifentanil Anesthesia is maintained with Sevoflurane and Remifentanil; myorelaxation is obtained with rocuronium |
Drug: Sugammadex
sugammadex
4 mg/kg : if there is no response to Train of Four stimulations and at least one response to the Post Tetanic Count
2 mg/kg : if there is at least two responses to Train of Four stimulations
|
Outcome Measures
Primary Outcome Measures
- Number of patients with an increase in Bispectral Index after sugammadex injection [One hour after anesthesia]
Increase in Bispectral Index (> 20) after sugammadex injection
- Number of patients with occurence of clinical signs of awakening after sugammadex injection [One hour after anesthesia]
Clinical signs of awakening after sugammadex are wallowing, eye opening on demand, cough, spontaneous movements, response to simple commands, tearing, ...
Secondary Outcome Measures
- T4/T1 ratio after sugammadex injection [One hour after anesthesia]
Modification of T4/T1 ratio after sugammadex injection
- Number of patients with side effects due to sugammadex injection [One hour after anesthesia]
Side effects after sugammadex injection are bradycardia, nausea or vomiting, pain, residual curarisation, awareness,...
Eligibility Criteria
Criteria
Inclusion Criteria:
- adult patients scheduled to receive general anesthesia with muscle relaxation achieved with rocuronium
Exclusion Criteria:
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Known drug allergy,
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Contra-indications to the use of propofol, remifentanil, rocuronium, sevoflurane, sugammadex
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Difficulty to use Bispectral Index monitor
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Inability to obtain a proper monitoring of muscle relaxation.
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Hopital Foch | Suresnes | Ile de France | France | 92151 |
Sponsors and Collaborators
- Hopital Foch
Investigators
- Principal Investigator: Morgan Le Guen, MD, Hopital Foch
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- 2010/58
- 2010-023943-13