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Effects of Glycopyrrolate Combined with Neostigmine for Reversal of Residual Neuromuscular Blockade on Hemodynamics and Microcirculation in Elderly Patients

Effects of Glycopyrrolate Combined with Neostigmine for Reversal of Residual Neuromuscular Blockade on Hemodynamics and Microcirculation in Elderly Patients

Status
Active, not recruiting
Phases
Phase 4
Study type
Interventional
Source
ChiCTR
Registry ID
ChiCTR2400094331
Enrollment
Unknown
Registered
2024-12-20
Start date
2025-01-01
Completion date
Unknown
Last updated
2025-01-06

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

Conditions

Other specified neuromuscular junction or muscle diseases

Interventions

Test group:Bromonium Bromide 8 µ g/kg and Neostigmine 40 µ g/kg
Control group:Atropine sulfate 16 µ g/kg and neostigmine 40 µ g/kg

Sponsors

The First Affiliated Hospital of Zhengzhou University, Department of Anesthesiology
Lead Sponsor

Eligibility

Sex/Gender
All
Age
65 Years to No maximum

Inclusion criteria

Inclusion criteria: 1.Elderly patients aged >=65 years requiring general anesthesia for surgery 2.Postoperatively receiving neostigmine to reverse the residual effects of non-depolarizing neuromuscular blockers 3.ASA physical status classification I/II 4.Body Mass Index (BMI) between 18.5 and 30 5.Voluntary participants who provide informed consent

Exclusion criteria

Exclusion criteria: 1.Allergy to anticholinergic drugs and their components 2.Abnormal liver or kidney function (aspartate aminotransferase (AST) and/or alanine aminotransferase (ALT) and/or total bilirubin (TBiL) >= 2 × ULN; serum creatinine (Cr) >= 2 × ULN, or participants requiring dialysis 3.Currently using medications that affect the cholinergic system 4.Presence of severe cardiovascular, respiratory, gastrointestinal diseases, or autonomic neuropathy 5.Considered unsuitable for participation in this trial by the investigator 6.Participated in other clinical studies of drugs or medical devices within the last 3 months

Design outcomes

Primary

MeasureTime frame
heart rate;Systemic Vascular Resistance Index, SVRI;

Secondary

MeasureTime frame
cardiac output, CO;cardiac index, CI;cardiac cycle efficiency;dp/dt;SBP;DBP;MAP;SpO2;TVD;Pulse Pressure Variation, PPV;Perfusion vascular density, PVD;MFI;HI;

Countries

China

Contacts

Public ContactHua Shao

The First Affiliated Hospital of Zhengzhou University

huashao.zzu@hotmail.com+86 137 8360 2219

Outcome results

None listed

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