Quality of Life Clinical Trial
— HIPPOOfficial title:
Deep Versus Moderate Neuromuscular Blockade During Total HIP Replacement Surgery to Improve POstoperative Quality of Recovery and Immune Function: a Randomized Controlled Study
Verified date | October 2023 |
Source | Radboud University Medical Center |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
Monocenter randomized controlled trial to compare the effect of deep neuromuscular blockade (NMB) versus moderate NMB during total hip replacement surgery on postoperative quality of recovery and innate immune function.
Status | Recruiting |
Enrollment | 100 |
Est. completion date | May 2024 |
Est. primary completion date | May 2024 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years and older |
Eligibility | Inclusion Criteria: - Age of 18 years or older - Scheduled for total hip replacement surgery under general anaesthesia - Informed consent obtained Exclusion Criteria: - Insufficient control of the Dutch language to read the patient information and to fill out de questionnaires - Known or suspected hypersensitivity to rocuronium or sugammadex - Deficiency of vitamin K dependent clotting factors or coagulopathy - Severe renal disease (creatinine clearance <30 ml/min), including patients on dialysis - Severe liver disease (Child-Pugh Classification C) - Known or suspected neuromuscular disorders impairing neuromuscular function - Women who are or may be pregnant or currently breastfeeding - Chronic use of psychotropic drugs - Use of immunomodulatory medication |
Country | Name | City | State |
---|---|---|---|
Netherlands | Radboudumc | Nijmegen |
Lead Sponsor | Collaborator |
---|---|
Radboud University Medical Center | Merck Sharp & Dohme LLC |
Netherlands,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Quality of Recovery 40 (QoR-40) questionnaire score | 40 points (minimum: extremely poor quality of recovery) to 200 points (maximum: excellent quality of recovery) | Postoperative day 1 | |
Secondary | Quality of Recovery 40 (QoR-40) questionnaire score | 40 points (minimum: extremely poor quality of recovery) to 200 points (maximum: excellent quality of recovery) | Postoperative day 30 | |
Secondary | Immune function represented by serum cytokine | Serum cytokine IL-6 level | Postoperative day 1 | |
Secondary | Immune function represented by IL-10 | Serum cytokine IL-10 level | Postoperative day 1 | |
Secondary | Immune function represented by TNF-a | Serum cytokine TNF-a level | Postoperative day 1 | |
Secondary | Immune function represented by ex-vivo IL-6 production capacity | Ex-vivo IL-6 production capacity upon whole blood Lipopolysaccharide(LPS) stimulation | Postoperative day 1 | |
Secondary | Immune function represented by ex-vivo IL-10 production capacity | Ex-vivo IL-10 production capacity upon whole blood LPS stimulation | Postoperative day 1 | |
Secondary | Pain score by numeric pain rating (NRS) scale | pain scores with NRS 0 (no pain) to 10 (severe pain) | During hospital admission up to 3 days postoperative | |
Secondary | Postoperative complications | postoperative complications scored by Clavien-Dindo classification; grade 0 (no deviation from ideal) grade 5 (death of patient) | 30 postoperative days | |
Secondary | Infectious postoperative complications | Postoperative infectious complications scored the definitions of the StEP-COMPAC group initiative | 30 postoperative days | |
Secondary | Analgesia consumption | non-cumulative and cumulative opioid use per day in morphine equivalent | During hospital admission up to 3 days postoperative |
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