To evaluate the feasibility of regionally reversing a rocuronium induced muscle relaxation and to determine the dose of sugammadex that is necessary to reach a train of four (TOF) ratio = 0.9. To determine the time needed to regionally reverse rocuronium induced muscle relaxation to a TOF) ratio = 0.9. To determine the effects of systemic muscle relaxation when the tourniquet is released
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: We will include only adult (age 18-80 years) ASA 1-3 patients of an BMI between 18 and 30 that undergo elective surgery with the need of general anaesthesia and who will receive routine muscle relaxation with rocuronium. We will only include patients that undergo procedures that provide access to both arms to simultaneously measure the TOF. 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 20 F.1.3 Elderly (>=65 years) no F.1.3.1 Number of subjects for this age range
Exclusion criteria
Exclusion criteria: We will exclude patients with a known allergy against sugammadex as well as patients with severe renal impairment since sugammadex is contraindicated or not recommended in these patients. Patients in whom pregnancy cannot be excluded will be excluded.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: To evaluate the feasibility of regionally reversing a rocuronium induced muscle relaxation and to determine the dose of sugammadex that is necessary to reach a train of four (TOF) ratio = 0.9. ;Secondary Objective: To determine the time needed to regionally reverse rocuronium induced muscle relaxation to a TOF) ratio = 0.9. To determine the effects of systemic muscle relaxation when the tourniquet is released ;Primary end point(s): Primary endpoint of the first sequence is the mean dose necessary to regionally reverse the rocuronium induced muscle relaxation to a TOF level = 0.9.;Timepoint(s) of evaluation of this end point: After completion of sequence 1 according to the study protocol | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): Secondary outcome parameter is the effect of the release of the tourniquet on the systemic muscle relaxation, as represented by the TOF of the not exsanguined arm. Primary endpoint of the second sequence is the time needed to provide a regional reversal of the rocuronium induced muscle relaxation to a TOF level = 0.9 with the mean dose calculated at sequence one.;Timepoint(s) of evaluation of this end point: After completion of sequence one and two according to the study protocol | — |
Countries
Austria
Contacts
Medizinische Universität Wien, Abteilung für Allgemeine Anästhesie und Intensivmedizin