Neuromuscular Blockade, Neuromuscular Monitoring, Statin-Associated Myopathy
Conditions
Brief summary
This study aims to compare the neuromuscular blockade responses in patients undergoing elective surgery under general anesthesia, with a focus on the use of statins. The study will assess the depth of neuromuscular blockade, recovery time, and postoperative residual curarization using Train-of-Four (TOF) monitoring, with the primary goal of determining whether statin use alters the neuromuscular blockade management.
Interventions
General anesthesia with propofol and fentanyl induction followed by rocuronium for neuromuscular blockade; maintenance with desflurane and remifentanil.
Sponsors
Study design
Eligibility
Inclusion criteria
* Age 18-75 years * ASA classification I, II, III * BMI 18-30 * Statin use for at least 3 months or no prior statin use * Elective surgery requiring general anesthesia with endotracheal intubation * Signed informed consent for participation in the study
Exclusion criteria
* ASA classification IV or higher * BMI \<18 or \>30 * History of liver or renal insufficiency (creatinine \>1.6, liver function tests \>2x normal) * Neuromuscular, psychiatric, or neurological disorders * Pregnancy * Use of drugs affecting neuromuscular function (e.g., anticonvulsants, aminoglycosides) * History of malignant hyperthermia * Respiratory disorders, including sleep apnea * Allergy to anesthetic drugs used in the study
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Time to reach TOF count 0 | 0th minute | time from administration of rocuronium to reach TOF count 0 |
| Time to reach TOF 40 | about 40th minute | time to intraoperatively TOF reached 40 |
| Time to reach TOF 90 (reversal of neuromuscular blockade) | about 60th minute | Measured postoperatively after sugammadex administration and additional doses if required. |