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Effect of steroid (dexamethasone) on the action of muscle relaxant (atracurium) in children undergoing surgery

A double blind randomized controlled trial - Effect of intravenous dexamethasone on the onset time and recovery profiles of atracurium in children

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
CTRI
Registry ID
CTRI/2019/03/018082
Enrollment
100
Registered
2019-03-13
Start date
Unknown
Completion date
Unknown
Last updated
2022-10-17

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Health Condition 1: N289- Disorder of kidney and ureter, unspecified

Interventions

Intervention1: Dexamethasone: A single injection of 0.15 mg/kg upto a maximum of 5mg of dexamethasone diluted to a total volume of 2ml with 0.9% saline will be given at the time of induction intraveno

Sponsors

Department of Anaesthesiology AIIMS
Lead Sponsor

Eligibility

Inclusion criteria

Inclusion criteria: ASA I and ASA II children undergoing surgery

Exclusion criteria

Exclusion criteria: 1. Patients who had taken a steroid medication within the last 24 h or had received chronic steroid medication or medicines, such as furosemide, magnesium, or cephalosporin, known to influence the neuromuscular function. 2. Patients with neuromuscular disease or hepatic and renal disease. 3. A history of allergy to atracurium and dexamethasone. 4. Severe and significant congenital heart disease. 5. Parental refusal. 6. Weight 7. Suspected difficult airway.

Design outcomes

Secondary

MeasureTime frame
a) The time in minutes between the start of atracurium injection and 25% twitch height recovery of T1 (clinical duration). b) The time in minutes between 25 and 75% twitch height recovery of T1 (recovery index). c) The time in minutes between the 25% twitch height recovery of T1 and recovery of neuromuscular block to a TOF ratio of 0.9 (recovery time). d) The time between the start of atracurium injection till the recovery of neuromuscular block to a TOF ratio of 0.9 (total recovery time). Timepoint: Time - 0, 25, 75, 90

Primary

MeasureTime frame
a) Onset time: the time in seconds between the start of atracurium injection and maximum T1 depression b) The incidence of incomplete neuromuscular block (below 95% T1 depression). Timepoint: time - 0

Countries

Germany

Contacts

Public ContactDr Lokesh Kashyap

AIIMS

lokeshkashyap@yahoo.com9868397821

Outcome results

None listed

Source: CTRI (via WHO ICTRP) · Data processed: Feb 4, 2026