Anesthesia
Conditions
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
* 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
* 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
Study design
Eligibility
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
| Measure | Time frame |
|---|---|
| modification of bispectral and neurosenses indices following sugammadex injection | day 1 after anesthesia |
Secondary
| Measure | Time frame |
|---|---|
| clinical signs of recovery after sugammadex injection | day 1 after anesthesia |
| residual myorelaxation in the post-anesthesia care unit | day 1 after anesthesia |
| efficacy of sugammadex to reverse myorelaxation | day 1 after anesthesia |
| duration of stay in the postanesthesia care unit | day 1 after anesthesia |
| occurence of explicit memorisation | day 1 after anesthesia |
| score of White and Song during the three first postoperative hours | day 1 after anesthesia |
Countries
France