Physiopathology
Conditions
Keywords
Analytical, Diagnostic, Anesthesia, Analgesia
Brief summary
Phase III prospective randomised study : curare vs placebo, comparing bowel peristalsis (abdominal echography) in the first minutes of after general anesthesia induction. Primary End Point: proportion of patients with a score of motion = 0
Detailed description
Primary End Point Proportion of patients with a score of motion = 0 Secondary End Point Time at which thumb adductor twitch measurement disappears (3rd consecutive measure with a twitch at 0) Mean minimal twitch measurement for those patients in who twitch measurement does not disappear Concordance study between twitch measurement and bowel peristalsis XML File Identifier: 1vUwHz2uUXeSc7soLu1cQwRAfcM= Page 15/24 ultrasound score.
Interventions
0.5 mg/kg milligram(s)/kilogram
Sponsors
Study design
Eligibility
Inclusion criteria
* elective surgery * scheduled oro tracheal intubation
Exclusion criteria
Counter indication to NMBA: * predicted difficult airway * surgical counter indication: facial or laryngeal nerve function monitoring * allergy to muscle relaxants neuro muscular disease Possible alteration of sensitivity to muscle relaxants due to ongoing medication: ex Valproate or aminoglycoside antibiotics. Predictable alteration of bowel movements or difficult abdominal ultrasound: * scheduled abdominal surgery * abdominal surgery in last month * obesity: body mass index over 30 Full stomach or pregnancy requiring suxamethonium for intubation
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Proportion of patients with a score of motion = 0 | 10 minutes after NMBA or placebo injection | Proportion of patients with a score of motion = 0 |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Time at which thumb adductor twitch measurement disappears | 1 month after injection | Time at which thumb adductor twitch measurement disappears (3rd consecutive measure with a twitch at 0). Mean minimal twitch measurement for those patients in who twitch measurement does not disappear. Concordance study between twitch measurement and bowel peristalsis |
Countries
France