Respiratory Mechanics and Metabolic Changes During Low Pressure Laparoscopic Cholecystectomy
- Registration Number
- NCT02469831
- Lead Sponsor
- Assiut University
- Brief Summary
The investigators aim to investigate the differences between deep continuous muscle relaxation and moderate blockade during low-pressure (8 mmHg) laparoscopic cholecystectomy in respect to metabolic changes and respiratory mechanics.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 40
Inclusion Criteria
- more than 18 years
- undergoing elective laparoscopic cholecystectomy
Exclusion Criteria
- previous surgeries,
- a history of venous or arterial diseases,
- BMI (≥30 kg/m2),
- Allergy to rocuronium.
- Significant liver dysfunction.
- Significant renal dysfunction (S-creatinine > 200 umol/l).
- Neuromuscular disease that might impair neuromuscular blockade
- Pregnant or breastfeeding.
- Indication for rapid sequence induction.
- Inability to informed consent
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description group D Rocuronium deep neuromuscular block by rocuronium defined :post tetanic (PTC) \>1 but no response to a train of four (TOF) stimulation. group I Rocuronium intermediate neuromuscular block by rocuronium defined as TOF count of 1-3.
- Primary Outcome Measures
Name Time Method respiratory mechanics (Dynamic compliance) intraoperative Dynamic compliance
- Secondary Outcome Measures
Name Time Method surgeon satisfaction (scale from 1 to 5) intraoperative scale from 1 to 5
postoperative nausea and vomiting postoperative for 6 hours metabolic changes (blood lactate) intraoperative blood lactate
postoperative pain (VAS score) postoperative for 6 hours VAS score
completion of surgical procedure intraoperative yes or no
Trial Locations
- Locations (1)
Al Rajhy liver hospital
🇪🇬Assuit, اسيوط, Egypt