Surgical Procedure, Unspecified
Conditions
Keywords
Sugammadex, entropy, bispectral index, blood pressure, heart rate, oxygenation, end-tidal CO2, hemodynamics, general anesthesia
Brief summary
Sugammadex is used to reverse the neuromuscular blocking effect of steroid neuromuscular blockers. Its cardiovascular effects and effect on brain cortex, if any, may be associated to the reversal of the neuromuscular block. The aim of the study was to investigate the pure effects of sugammadex in the absence of the agonist.
Detailed description
Three groups of patients undergoing elective major surgery and given cis-atracurium for muscle relaxation are studied. Group 1 receives 2 mg/kg of sugammadex when a count of two of the train of four appears Group 2 receives 4 mg/kg of sugammadex when a posttetanic count 1-3 appears Group 3 receives 16 mg/kg of sugammadex three minutes after administration of cis-atracurium. Heart rate, arterial blood pressure, oxygen saturation, end-tidal CO2, entropy and bispectral index are recorded every three minutes
Interventions
Sugammadex 2 mg/kg when a two count of train of four appears
Sugammadex 4 mg/kg are given when a posttetanic count 1-3 appears
Sugammadex 16 mg/kg three minutes after the injection of cis-atracurium
Sponsors
Study design
Eligibility
Inclusion criteria
* patients ASA I-III scheduled for elective major surgery * both sexes
Exclusion criteria
* patients hypertensive * treated with antihypertensive drugs
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Entropy | every three minutes |
Secondary
| Measure | Time frame |
|---|---|
| hemodynamics | every three minutes |
Countries
Greece