Muscle Relaxation Clinical Trial
Official title:
Deep Neuromuscular Blockade to Improve Postoperative Quality of Recovery in Ambulatory Gynaecologic Laparoscopy
Gynecological laparoscopic surgery is commonly performed as an ambulatory basis for the aim of rapid discharge, reduce hospital stay with reduced costs and to improve postoperative QOR [1,2]. However, the creation of pneumoperitoneum during laparoscopy may cause postoperative pain and other physiological changes [3], which could influence the postoperative QOR negatively [4]. Poor postoperative QOR leads to prolonged hospital stay [5].
Deep NMB is known to improve surgical conditions and pneumoperitoneium related complications
in laparoscopic surgery [6,7,8,9]. However, it is unknown whether deep NMB improves
postoperative QOR in ambulatory gynecological laparoscopy.
Therefore, we designed a double blind randomised trial to compare the effects of deep and
moderate NMB on postoperative QOR in ambulatory gynecological laparoscopic surgery. We
hypothesized that deep NMB improves postoperative QOR, compared to moderate NMB. The primary
outcome was postoperative QOR in POD1. The secondary outcome was quality of surgical
conditions, pain scores, time to meet PACU and hospital discharge, and opioid consumption
;
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