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Deep vs Moderate Neuromuscular Blockade in Day Case Laparoscopic Cholecystectomy.

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ClinicalTrials.gov Identifier: NCT03881423
Recruitment Status : Completed
First Posted : March 19, 2019
Last Update Posted : May 29, 2019
Sponsor:
Information provided by (Responsible Party):
Wahba bakhet, Ain Shams University

Brief Summary:
Laparoscopic cholecystectomy (LC) is commonly performed on ambulatory basis as a result of its ability to improve postoperative quality of recovery (QOR) and significantly reduce hospital stay .

Condition or disease Intervention/treatment Phase
Muscle Relaxation Drug: Rocuronium Bromide Phase 4

Detailed Description:

Laparoscopic cholecystectomy (LC) is commonly performed on ambulatory basis as a result of its ability to improve postoperative quality of recovery (QOR) and significantly reduce hospital stay.

The surgeon requires a good surgical conditions to perform the operation, whereas the anesthesiologist is concerned with postoperative QOR. Pneumoperitoneium -associated expansion of the abdominal cavity during LC is related to postoperative pain.

and other physiological changes, affecting the postoperative QOR negatively . Poor postoperative QOR leads to prolonged hospital stay .


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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 80 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Triple (Participant, Care Provider, Investigator)
Masking Description: Double blinded
Primary Purpose: Supportive Care
Official Title: Deep vs Moderate Neuromuscular Blockade on Surgical Conditions and Quality of Recovery in Day Case Laparoscopic Cholecystectomy
Actual Study Start Date : April 1, 2015
Actual Primary Completion Date : August 1, 2018
Actual Study Completion Date : April 1, 2019

Resource links provided by the National Library of Medicine


Arm Intervention/treatment
Active Comparator: Deep block
In the deep NMB-group, a PTC of 1 to 2 twitches was maintained, and NMB was reversed with sugammadex at the end of surgery.
Drug: Rocuronium Bromide
DEEP block to PTC 1-3
Other Name: Neuromuscular blocker

Active Comparator: Moderate block
In the moderate NMB group, a TOF count of 1 to 2 was maintained and NMB was reversed with a combination of neostigmine and glycopyrolate at the end of surgery.
Drug: Rocuronium Bromide
DEEP block to PTC 1-3
Other Name: Neuromuscular blocker




Primary Outcome Measures :
  1. Surgical conditions [ Time Frame: Intraoperative ]
    The surgeon assessed surgical condition every 10 minutes

  2. Quality of recovery [ Time Frame: 24 hours postoperative ]
    Quality of recovery-40 (QoR-40) questionnaire, which includes five general quality of life dimensions: physical independence (5 items), pain (7 items), .emotional state (9 items), psychological support (7 items), and physical independence (5 items). Each item was graded with a 5-point score: none of the time, some of the time,usually, most of the time and all of the time. The total score on the QoR- 40 questionnaire ranges from 40 to 200 representing, respectively, extremely poor to excellent


Secondary Outcome Measures :
  1. Postoperative pain [ Time Frame: During the length of hospital stay post surgery (on average 24 hours) ]
    Visual analogue scale with its 0 to 10 score range: (0 (no pain) to 10 ( Severe pain)



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Ages Eligible for Study:   21 Years to 60 Years   (Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  • ASA I and II

Exclusion Criteria:

  • Neuromuscular disorders

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT03881423


Locations
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Egypt
Ainshams University Hospitals
Cairo, Egypt, 11311
Sponsors and Collaborators
Ain Shams University

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Responsible Party: Wahba bakhet, Lecturer, Ain Shams University
ClinicalTrials.gov Identifier: NCT03881423     History of Changes
Other Study ID Numbers: AinShamsU-wbakhet
First Posted: March 19, 2019    Key Record Dates
Last Update Posted: May 29, 2019
Last Verified: May 2019
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: Yes
Plan Description: Sharing
Supporting Materials: Study Protocol
Statistical Analysis Plan (SAP)
Informed Consent Form (ICF)
Clinical Study Report (CSR)
Analytic Code
Time Frame: 1 year
Access Criteria: Web

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Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No

Additional relevant MeSH terms:
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Bromides
Rocuronium
Neuromuscular Blocking Agents
Neuromuscular Nondepolarizing Agents
Neuromuscular Agents
Peripheral Nervous System Agents
Physiological Effects of Drugs
Anticonvulsants