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Comparison of Neostigmine versus Sugammadex after muscle paralysis by muscle relaxants by doing ultrasonography of diaphragm.

Comparison of Neostigmine Vs. Sugammadex for recovery of muscle function after neuromuscular blockade by means of diaphragm ultrasonography in non-cardiac surgery: A randomised control trial

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
CTRI
Registry ID
CTRI/2023/05/052678
Enrollment
76
Registered
2023-05-16
Start date
Unknown
Completion date
Unknown
Last updated
2024-09-16

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

Conditions

Health Condition 1: O- Medical and Surgical

Interventions

Intervention1: Sugammadex: Group A[ SUGAMMADEX] will receive Sugammadex 2mg/kg Intravenous on appearance of three twitches in NMT( neuromuscular monitoring) it will be given ONCE for reversal of eff

Sponsors

Dr Prasanta Kumar Das
Lead Sponsor

Eligibility

Inclusion criteria

Inclusion criteria: 1. Patients undergoing elective non-cardiac surgery 2. ASA grade I to III 3. AGE- 18- 70 Years

Exclusion criteria

Exclusion criteria: 1. Emergency surgery 2. Refusal to treatment 3. Allergy to study drug 4. Renal and hepatic failure 5. Pregnant and nursing mother 6. Diaphragmatic palsy 7. Poor image quality

Design outcomes

Primary

MeasureTime frame
To compare the incidence of PORC defined by diaphragmatic thickening fraction =0.36 , between two groups after administration of Neostigmine or Sugammadex assessed by diaphragm USG Timepoint: We will measure the thickening fraction of diaphragm by ultrasonography at three readings. The baseline will be taken before induction, just before extubation, at 30 minutes after extubation in postop area. All the outcomes will be assessed for 24 hours for taking the results into account.

Secondary

MeasureTime frame
To compare: 1)Time to achieve TOF ratio = 0.9 or four twitches since administration of last dose of muscle relaxant (whichever is later) 2)Time to achieve TOF ratio = 0.9 or four twitches after administration of reversal agent (whichever is later) 3)Postoperative pulmonary complications (PPC) within 24 hours [ PPC defined by SpO2 less than 90% or requiring oxygen therapy to maintain SpO2 more than 95% ] 3)Incidence of adverse effects Timepoint: within 24 hours

Countries

India

Contacts

Public ContactAmlan Kusum Rout

AIIMS, Bhubaneswar

docdas.aiims@gmail.com9312677007

Outcome results

None listed

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