Reversal of rocuronium-induced neuromuscular blockade MedDRA version: 18.0 Level: PT Classification code 10057286 Term: Neuromuscular blockade reversal System Organ Class: 10042613 - Surgical and medical procedures
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: age over 18 years; • morbid obesity class II (with comorbidities), and class III; • patients undergoing surgery for laparoscopic bariatric surgery • presence of neuromuscular monitoring (TOF Watch SX®) • presence of moderate NMB (T1-T2 TOF) or deep NMB (absence of T1 TOF) at reversal • preoperative coagulation parameters within normal limits 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 204 F.1.3 Elderly (>=65 years) no F.1.3.1 Number of subjects for this age range
Exclusion criteria
Exclusion criteria: • obesity class I and II (in the absence of co-morbidities); • muscle dysfunction (eg. Myasthenia gravis, muscular dystrophy) • cardiac disease (eg. prolong QTc syndrome) and / or cardiac ischemia • renal failure • liver failure • allergic reaction to the drugs used in the study • treatment with oral contraceptives, toremifene, flucloxacillin and fusidic acid • known or suspected pregnancy • anticoagulants treatment • hereditary deficiencies of vitamin K dependent coagulation factors • patients with pre-existing coagulopathy
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: Comparison of the recovery time from neuromuscular blockade after administration of sugammadex dosed on the basis of total body weight or corrected body weight in morbidly obese patients;Secondary Objective: Comparison of complete recovery of TOF ratio ?1 between morbidly obese patients receiving sugammadex dosed on the basis of total body weight or corrected body weight.;Primary end point(s): Difference in the time required for complete recovery (TOF ratio =1) from moderate or profound neuromuscular block after administration of sugammadex (TBW group vs. group CBW) during recovery from general anesthesia at the end of the surgical procedure.;Timepoint(s) of evaluation of this end point: At the end of the surgical procedure | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): Difference in the time required to obtain a normalized TOF ratio (TOF ratio post-reversal / TOF ratio baseline) =1 after administration of sugammadex (TBW group vs. group CBW). Adverse effects;Timepoint(s) of evaluation of this end point: Until hospital discharge | — |
Countries
Italy
Contacts
Azienda Ospedaliera di Padova