General Anesthesia
Conditions
Keywords
Sugammadex, Neostigmine, Surgery
Brief summary
Investigators hypothesized that the surgical condition will be improved with the use of sugammadex in patients undergoing laryngeal microsurgery. Investigators will compare the effect of sugammadex and neostigmine on the surgical condition during laryngeal microsurgery.
Interventions
In sugammadex group, sugammadex (Bridion, Merck Shart and Dohme (MSD), Oss, the Netherlands) will be administered intravenously in different doses according to the degree of muscle relaxation. Sugammadex 8 mg/kg will be administered if there is no response on post-tetanic count (PTC) stimulus. Sugammadex 4 mg/kg will be administered if PTC is more than 1 or 2. Sugammadex 2 mg/kg will be administered if T2 response appears on train-of-four (TOF) stimulus.
In neostigmine group, neostigmine 50 ㎍/kg will be administered intravenously with glycopyrrolate 10 ㎍/kg when the T2 response appears on TOF stimuli.
Sponsors
Study design
Eligibility
Inclusion criteria
* adult patients of age over 20 years * scheduled for laryngeal microsurgery under general anesthesia
Exclusion criteria
* anticipated difficult intubation, cervical spine disease, neuromuscular disease, acute or chronic renal failure, liver cirrhosis or liver failure * history of allergy to nondepolarizing muscle relaxant * history of malignant hyperthermia * pregnant woman * body mass index over 35 kg/m2
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| surgical condition | up to 1 hour after the end of surgery | Primary outcome is the proportion of patients who have clinically acceptable surgical condition. The surgeon will evaluate the surgical condition as a surgical rating scale during surgery (extremely poor condition, poor condition, acceptable condition, good condition, optimal condition). |
Countries
South Korea