The pain study: To evaluate the importance of deep neuromuscular blockade (NMB) and low intraabdominal pressure in laparoscopic hysterectomy considering postoperative pain, nausea, consumption of analgetics, lengths of hospital stay and time to recover to normal functions. The safety study: To evaluate the importance of deep neuromuscular blockade (NMB) in laparoscopic hysterectomy considering the number unintended and unwanted patient movements registered by the surgeon.
Conditions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Patients > 18 years old Elective laparoscopic hysterectomy (total/subtotal) Can read and understand Danish Informed consent Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range 108 F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range 2
Exclusion criteria
Exclusion criteria: BMI > 28 kg/cm2 Known allergy to medications that are included in the project Severe renal disease, defined by S-creatinine> 0,200 mmol/L, GFR < 30ml/min or hemodialysis) Neuromuscular disease that may interfere with neuromuscular data Lactating or pregnant Impaired liver function Indication for rapid sequence induction (esophageal reflux/ hiatus hernia/other cause)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: The pain study: To evaluate the importance of deep neuromuscular blockade (NMB) and low intraabdominal pressure in laparoscopic hysterectomy considering postoperative shoulderpain ;Secondary Objective: To evaluate the importance of deep neuromuscular blockade (NMB) and low intraabdominal pressure in laparoscopic hysterectomy considering postoperative pain, nausea, consumption of analgetics, lengths of hospital stay and time to recover to normal functions.;Primary end point(s): Occurrence of shoulder pain or discomfort in the shoulder region within 14 days after operation;Timepoint(s) of evaluation of this end point: 14 days after hysterectomy | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): Pain (shoulder-, incisional-, abdominal - and overall pain) estimated as area under the curve from preoperatively till 4 days after operation Pain (shoulder-, incisional-, abdominal - and overall pain) estimated as area under the curve from preoperatively till 14 days after operation Number of days before resumption of daily acitivities Number of days before resumption of work ;Timepoint(s) of evaluation of this end point: Pain (shoulder-, incisional-, abdominal - and overall pain) estimated as area under the curve from preoperatively till 4 days after operation Pain (shoulder-, incisional-, abdominal - and overall pain) estimated as area under the curve from preoperatively till 14 days after operation Number of days before resumption of daily acitivities Number of days before resumption of work | — |
Countries
Denmark
Contacts
Mona Ring Gätke