Head and Neck Cancer
Conditions
Keywords
magnesium sulfate, rocuronium, neuromuscular block, onset time, elderly
Brief summary
The purpose of this study is to evaluate the effects of MgSO4 administration on the pharmacodynamics of rocuronium in patients with 60 or more years of age.
Interventions
MgSO4 30 mg/kg in 0.9% physiological saline (total volume 100 ml) intravenously, for 10 min, and then continuous intravenous infusion of MgSO4 at a rate of 1 g/h during the surgical procedure until the maximum of 3 h
100 ml of 0.9% physiological saline, for 10 min, and then continuous intravenous infusion of saline at a rate of 33 ml/h during the surgical procedure until the maximum of 3 h
Sponsors
Study design
Eligibility
Inclusion criteria
* 60 years or older * ASA physical status I-III * Scheduled for elective oncologic head and neck surgery
Exclusion criteria
* Severe renal insufficiency (calculated creatinine clearance \< 30 ml/min) * Pre-operatory serum magnesium values \> 2.5 mEq/l * Patients receiving medications known to affect neuromuscular function (furosemide, aminoglycoside, anticonvulsivants, calcio channel blocker, litium, azatioprine, cyclofosfamide)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Total recovery time of neuromuscular block (DurTOF0.9) | Within the surgical procedure | Time from the start of injection of rocuronium until TOF ratio 0.9 |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Onset time | Within the surgical procedure | Time from the start of injection of rocuronium until 95% depression of the first twitch (T1) of the TOF |
| Clinical duration (Dur25%) | Within the surgical procedure | Time from the start of injection of rocuronium until T1 of the TOF had recovered to 25% of the initial T1 value |
| Recovery index (Dur25-75%) | Within the surgical procedure | Time between 25% and 75% recovery of the initial T1 value |
| Recovery time (Dur25%TOF0.9) | Within the surgical procedure | Time between 25% recovery of the initial T1 value and a TOF ratio of 0.9 |
Countries
Brazil