Intra-operative adverse events during laparoscopic surgery
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: In order to be eligible to participate in this study, a patient must meet all of the following criteria: • Patients scheduled for elective laparoscopic procedure with a complexity according to the BUPA classification for case complexity: ‘MAJOR’, ‘MAJOR PLUS’ or ‘COMPLEX MAJOR’ • ASA class I-III • > 18 years of age • Ability to give oral and written 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 230 F.1.3 Elderly (>=65 years) no F.1.3.1 Number of subjects for this age range
Exclusion criteria
Exclusion criteria: • Low or intermediate complexity laparoscopic procedures (BUPA ‘SIMPLE’ or ‘INTER’) • Known or suspected neuromuscular disorders impairing neuromuscular function • Allergies to muscle relaxants, anesthetics or narcotics • A (family) history of malignant hyperthermia • Women who are or may be pregnant or are currently breast feeding • Chronic use of any type of opioid or psychotropic drug • Use of NSAID’s shorter than 5 days before surgery • Indication for rapid sequence induction • Contra-indication for sugammadex use (e.g. known sugammadex allergy or GFR<30 ml/min)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: To study the effect of deep neuromuscular block compared to standard neuromuscular block on intra- operative adverse events during laparoscopic surgery using the CLASSIC score system.; Secondary Objective: To study the effect of deep neuromuscular block as compared to standard neuromuscular block on: • Surgical working conditions (L-SRS) • 30 day post-operative complications (Clavien-Dindo) • 30-day post-operative complications according to the Comprehensive Complication Index • 30 day unplanned readmission rates Quality of recovery at post-operative day 1, 2 and 30 after laparoscopic surgery. -Quality-of-recovery (QoR-40 at postoperative day 1 and 2; Aldrete score at the PACU) -Quality-of-life at postoperative day 30 (SF36) ;Primary end point(s): Intra-operative adverse events evaluated with the CLASSIC Score form;Timepoint(s) of evaluation of this end point: during laparoscopic surgery | — |
Secondary
| Measure | Time frame |
|---|---|
| Timepoint(s) of evaluation of this end point: During the 30 post-operative days.; Secondary end point(s): Study the effect of deep neuromuscular block as compared to standard neuromuscular block on: • Surgical working conditions (L-SRS) • 30 day post-operative complications (Clavien-Dindo) • 30-day post-operative complications according to the Comprehensive Complication Index • 30 day unplanned readmission rates • Quality of recovery at post-operative day 1, 2 and 30 after laparoscopic surgery. o Quality-of-recovery (QoR-40 at postoperative day 1 and 2; Aldrete score at the PACU) o Quality-of-life at postoperative day 30 (SF36) | — |
Countries
Spain
Contacts
INSTITUTO DE INVESTIGACION SANITARIA LA FE