The management of neuromuscular blockade in patients undergoing emergency cesarean section under general anesthesia, focusing on optimizing muscle relaxation and recovery using magnesium sulfate as an adjunct to rocuronium..
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Patient undergoing cesarean section with general anesthesia
Exclusion criteria
Exclusion criteria: Malampaty III or IV History of difficult intubation History of face and neck radiation Emergency surgery due to mother or baby Taking previous magnesium sulfate History of face or neck trauma Patients recently used calcium channel blockers Patients recently used antibiotics, especially aminoglycosides Patient receiving labetalol History of allergy to rocuronium History of allergy or complications of receiving succinyl colin Neuromuscular diseases History of malignant hyperthermia Creatinine more than 1.5 or glomerular filtration less than 60
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Intubating conditions. Timepoint: Immediately after intubation. Method of measurement: Intubation condition assessment checklist in accordance with the guidelines for Good Clinical Research Practice (GCRP) in Pharmacodynamic Studies of Neuromuscular Blocking Agents. | — |
Secondary
| Measure | Time frame |
|---|---|
| Blood pressure. Timepoint: Before and one minute after the induction of anesthesia, one minute and three minutes after intubation. Method of measurement: Blood pressure monitoring device.;Heart rate. Timepoint: Before and one minute after the induction of anesthesia, one minute and three minutes after intubation. Method of measurement: Vital signs monitoring device.;Saturation of peripheral oxygen (SPO2). Timepoint: Before and one minute after the induction of anesthesia, one minute and three minutes after intubation. Method of measurement: Vital signs monitoring device. | — |
Countries
Iran (Islamic Republic of)
Contacts
Esfahan University of Medical Sciences