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Assessment Study of the Effect of NMBA on Bowel Peristalsis

Phase 4
Terminated
Conditions
Physiopathology
Interventions
Drug: injection of NMBA
Drug: injection of placebo
Registration Number
NCT02004015
Lead Sponsor
Fondation Ophtalmologique Adolphe de Rothschild
Brief Summary

Phase III prospective randomised study : curare vs placebo, comparing bowel peristalsis (abdominal echography) in the first minutes of after general anesthesia induction.

Primary End Point: proportion of patients with a score of motion = 0

Detailed Description

Primary End Point Proportion of patients with a score of motion = 0

Secondary End Point Time at which thumb adductor twitch measurement disappears (3rd consecutive measure with a twitch at 0) Mean minimal twitch measurement for those patients in who twitch measurement does not disappear Concordance study between twitch measurement and bowel peristalsis XML File Identifier: 1vUwHz2uUXeSc7soLu1cQwRAfcM= Page 15/24 ultrasound score.

Recruitment & Eligibility

Status
TERMINATED
Sex
All
Target Recruitment
50
Inclusion Criteria
  • elective surgery
  • scheduled oro tracheal intubation
Exclusion Criteria

Counter indication to NMBA:

  • predicted difficult airway
  • surgical counter indication: facial or laryngeal nerve function monitoring
  • allergy to muscle relaxants neuro muscular disease Possible alteration of sensitivity to muscle relaxants due to ongoing medication: ex Valproate or aminoglycoside antibiotics. Predictable alteration of bowel movements or difficult abdominal ultrasound:
  • scheduled abdominal surgery
  • abdominal surgery in last month
  • obesity: body mass index over 30 Full stomach or pregnancy requiring suxamethonium for intubation

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Atracuriuminjection of NMBAinjection of NMBA 0.5 mg/kg milligram(s)/kilogram in Intravenous bolus use
ROCURONIUMinjection of NMBAinjection of NMBA 0.6 mg/kg milligram(s)/kilogram in Intravenous bolus
placeboinjection of placeboinjection of placebo Injection in Intravenous bolus use
Primary Outcome Measures
NameTimeMethod
Proportion of patients with a score of motion = 010 minutes after NMBA or placebo injection

Proportion of patients with a score of motion = 0

Secondary Outcome Measures
NameTimeMethod
Time at which thumb adductor twitch measurement disappears1 month after injection

Time at which thumb adductor twitch measurement disappears (3rd consecutive measure with a twitch at 0). Mean minimal twitch measurement for those patients in who twitch measurement does not disappear. Concordance study between twitch measurement and bowel peristalsis

Trial Locations

Locations (1)

Fondation Ophtalmologique Adolphe de Rothschild

🇫🇷

Paris, France

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