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Recovery Effect of Sugammadex Measured by Bispectral and Neurosense Indices

Pilot Study of EEG Signs of Awakening Secondary to Injection of Sugammadex: Evaluation by Recording Bispectral Index and NeuroSENSE (Prospective, Double-blind Study)

Status
Completed
Phases
Phase 4
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01161004
Acronym
Sugarecovery
Enrollment
50
Registered
2010-07-13
Start date
2010-09-30
Completion date
2011-08-31
Last updated
2017-05-24

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Anesthesia

Brief summary

It has been demonstrated that antagonism of neuromuscular blockade (neostigmine 0.04 mg kg-1) affects depth of anaesthesia with an increase in bispectral index (mean maximal change of 7.1) and middle-latency auditory evoked potentials (mean maximal change of 9.7). Sugammadex has a quicker and more complete effect than neostigmine. This study aims to demonstrate if sugammadex administration increases bispectral and neurosense indices of the depth of anesthesia while patients still receive propofol-remifentanil iv anesthesia.

Interventions

DRUGSugammadex - Nacl 9/00

* Sugammadex: 4 mg/kg when post tetanic count shows at least 1 or 2 responses; 2 mg/kg when Train of four shows at least 2 responses. * Nacl 9/00: same volume as Sugammadex

DRUGNacl 9/00 - sugammadex

* Nacl 9/00: same volume as Sugammadex * Sugammadex: 4 mg/kg when post tetanic count shows at least 1 or 2 responses; 2 mg/kg when Train of four shows at least 2 responses.

Sponsors

Hopital Foch
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
TREATMENT
Masking
TRIPLE (Subject, Caregiver, Investigator)

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

* patients scheduled to receive general anesthesia with muscle relaxation

Exclusion criteria

* contra-indication to the administration of propofol, remifentanil, rocuronium and to the use of the Bispectral Index or NeuroSense monitor * known drug allergy or hypersensitivity to a drug used in the study * history of central brain injury * patient treated with a psychotropic agent * patient with a pacemaker * severe renal insufficiency * treatment by toremifene, flucloxacillin or fusidic acid in the preoperative or immediate postoperative period

Design outcomes

Primary

MeasureTime frame
modification of bispectral and neurosenses indices following sugammadex injectionday 1 after anesthesia

Secondary

MeasureTime frame
clinical signs of recovery after sugammadex injectionday 1 after anesthesia
residual myorelaxation in the post-anesthesia care unitday 1 after anesthesia
efficacy of sugammadex to reverse myorelaxationday 1 after anesthesia
duration of stay in the postanesthesia care unitday 1 after anesthesia
occurence of explicit memorisationday 1 after anesthesia
score of White and Song during the three first postoperative hoursday 1 after anesthesia

Countries

France

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026