Postoperative Pulmonary Complications Clinical Trial
Official title:
Comparison of the Effects of Neostigmine and Sugammadex on Postoperative Residual Curarization and Postoperative Pulmonary Complications Detected by Diaphragm and Lung Ultrasonography: A Study Protocol for Prospective Double-blind Randomized Controlled Trial.
This trial aims to compare the incidence of postoperative residual curarisation (PORC) and postoperative pulmonary complications (PPCs) in the SUG and NEO group by means of diaphragm ultrasonography and LUS, so as to conclude whether SUG can outperform NEO in preventing occurrence of PORC and PPCs.
Status | Not yet recruiting |
Enrollment | 414 |
Est. completion date | September 2022 |
Est. primary completion date | July 2022 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 60 Years and older |
Eligibility | Inclusion Criteria: 1. American Society of Anesthesiologists (ASA) physical status I-III 2. Aged over 60 years 3. Anesthesia induction with rocuronium as NMBAs, maintenance with volatile sevoflurane 4. Scheduled to undertake joint surgery 5. Signed the informed consent form Exclusion Criteria: 1. Those with a history of hepatic or renal disease, chronic or acute alcoholism, allergy or hypersensitivity to sugammadex or neostigmine, current medication with effects on the central nervous system, a history of dysfunction of neuromuscular system 2. Those with diaphragm insufficiency or massive pleural effusion 3. Women who are pregnant or nursing 4. Those undergoing upper abdominal laparotomy, after which we cannot obtain a satisfactory ultrasound imaging or do not have space for placement of ultrasonic probe 5. Declined to participate |
Country | Name | City | State |
---|---|---|---|
n/a |
Lead Sponsor | Collaborator |
---|---|
Peking Union Medical College Hospital |
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Other | sedation score | sedation score OAAS | 10min and 30min after extubation | |
Other | duration of hospitalization | duration of hospitalization | 30 days after surgery | |
Other | dosage of intravenous and inhaling sedative drug, analgesia drug, NMBAs | dosage of intravenous and inhaling sedative drug, analgesia drug, NMBAs | 30 days after surgery | |
Other | duration of surgery and anesthesia | duration of surgery and anesthesia | 30 days after surgery | |
Primary | incidence of postoperative pulmonary complications | incidence of postoperative pulmonary complications | 30 days after surgery | |
Secondary | Evaluation of diaphragmatic and pulmonary function by means of diaphragm and lung ultrasonography | Evaluation of diaphragmatic and pulmonary function by means of diaphragm and lung ultrasonography(LUS) | preoperatively, 10min and 30min after extubation for diaphragm ultrasonography and LUS |
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