Neuromuscular Blockade
Conditions
Keywords
sugammadex, dexamethasone, neuromuscular blockade
Brief summary
This study aims to investigate the possible clinical effect of dexamethasone on the action of sugammadex when it is administered to reverse deep neuromuscular blockade caused by rocuronium in laparoscopic cholecystectomies.
Interventions
active comparator
placebo controlled intervention
sugammadex is administered in both groups to reverse deep neuromuscular blockade at the end of surgery
Sponsors
Study design
Eligibility
Inclusion criteria
* patients aged 18-70 years * laparoscopic cholecystectomy * operation \< 3 hours
Exclusion criteria
* age \<18 or \>70 years old * ASA physical status \>3 * central nervous system diseases * severe psychiatric disorders under treatment * cognitive dysfunction * known or suspected allergy to the administered drugs * operations \> 3 hours * surgical intraoperative complications-open cholecystectomy * severe renal or liver disease * diabetes melitus * immunosuppressed patients * chronic immunosuppresant therapy (corticosteroids or other drugs) * all contraindications to corticosteroids administration * patiens on chronic use of opioids
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Time to train-of-four (TOF) ratio of 0.9 since administration of sugammadex | minutes after administration of sugammadex (0 to 30 minutes) | measurement of time after administration of the reversal agent (sugammadex) to achieve train-of-four (TOF0 ratio of 0.9 (up to 30 minutes) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Postoperative pain | 1, 6, 12, 24 hours postoperatively | Assessed by Numeric Rating Scale 0-10 |
| Postoperative nausea and vomiting | 1, 6, 12, 24 hours postoperatively | Assessed by nausea/vomiting scale (11. Myles PS, Wengritzky R. Simplified postoperative nausea and vomiting impact scale for audit and post-discharge review. Br J Anaesth 2012; 108: 423-429) |
Other
| Measure | Time frame | Description |
|---|---|---|
| Time from end of surgery to extubation of patient | minutes after administration of sugammadex (0 to 30 minutes) | measurement of time after administration of the reversal agent (sugammadex) to achieve extubation of patient (up to 30 minutes) |
Countries
Greece