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Quantifying the effect and variability of neuromuscular blocking drugs on patients undergoing surgery.

Not Applicable
Completed
Conditions
surgery.
Anaesthesiology - Other anaesthesiology
anaesthesia
Registration Number
ACTRN12619000664145
Lead Sponsor
Christchurch Hospital
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
All
Target Recruitment
63
Inclusion Criteria

Patients having surgeries lasting more than 60 minutes, who require more than one dose of rocuronium muscle relaxant.

Exclusion Criteria

Patients having surgery that will last for less than 60 minutes.
Patients having surgery that will require fewer than 2 doses of neuromuscular blockade NMB).

Study & Design

Study Type
Observational
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Quantifying patient requirement for NMB during anaesthesia, using Train of Four (TOF) monitoring. <br>[Point of administration of NMB.];Patient quality of recovery in Post Anaesthetic Care Unit (PACU), as determined by the PQRS (Post-Operative Quality of Recovery Scale) that evaluates physiological, nociceptive, functional, cognitive and emotional recovery domains, as well as overall patient perspective.[Within 30 minutes of last stitch (i.e.last surgical stitch).];Patient quality of recovery in Post Anaesthetic Care Unit (PACU), as determined by the PQRS (Post-Operative Quality of Recovery Scale) that evaluates physiological, nociceptive, functional, cognitive and emotional recovery domains, as well as overall patient perspective.[Day 1 post-surgery.]
Secondary Outcome Measures
NameTimeMethod
Combined TOF ratio and NMB drug level at the time of last NMT measurement, as assessed by the Aisys Anaesthetic Machine.(Composite outcome.)[Time of last NMT measurement.];Peak drug level at disappearance of T1, as assessed by the Aisys Anaesthetic Machine.[Disappearance of T1.];Calculated NMB drug level at the time the second twitch (T2) of a train-of-four (TOF) returns, assessed by Aisys Anaesthetic Machine..[Return of T2.];Time from first dose of NMB to disappearance of T1 as assessed by Aisys Anaesthetic Machine. (TOF ratio is used in monitoring recovery from neuromuscular block.. T1 is the first indicator of early return of neuromuscular function.)[Disappearance of T1.];Combined (composite)Train of Four (TOF) and drug level at the time any NMB antagonist is administered, as shown by Aisys Anaesthetic Machine.[At administration of NMB antagonist.]
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