To be able to perform an efficient neuromuscular blockade with the lowest dose of cisatracurium in mechanically ventilated critically ill patients. The neuromuscular blockade is assessed by TOF monitoring or clinical examination. Cisatracurium doses could be changed at any moment during the procedure.
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: - Age over 18 years - Mechanically ventilated patients - Sedation - Information form waived by family members or surrogates 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 55 F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range 5
Exclusion criteria
Exclusion criteria: - Pregnancy, - Neuromuscular disorders - Allergy to cisatracurium, atracurium, benzene sulfonic acid - Expected survival of less than 2 days - Personnal or family history of malignant hyperthermia
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: To discover if neuromuscular blockade monitoring by TOF compared with clinical assessment during cisatracurium paralysis reduces the incidence of pharmacological overdose.;Secondary Objective: Does TOF monitoring lead to improved recovery time compared with clinical assessment?;Primary end point(s): Cisatracurium doses needed per patient per 24h in each group to perform an efficient neuromuscular blockade.;Timepoint(s) of evaluation of this end point: From the begining to the end of cisatracurium infusion. | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): Time to complete withdrawal of neuromuscular blockade.;Timepoint(s) of evaluation of this end point: From the end of cisatracurium infusion to complete withdrawal of neuromuscular blockade. | — |
Countries
France
Contacts
CHU DE POITIERS