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Sugammadex, neostigmine and postoperative pulmonary complications (SNaPP): a randomised controlled trial

Phase 4
Recruiting
Conditions
Pulmonary atelectasis
Pneumonia
Acute respiratory distress syndrome
Pulmonary aspiration
Anaesthesiology - Anaesthetics
Surgery - Other surgery
Respiratory - Other respiratory disorders / diseases
Registration Number
ACTRN12623000394640
Lead Sponsor
niversity of Melbourne
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Recruiting
Sex
All
Target Recruitment
3500
Inclusion Criteria

1. Plan for elective or expedited intraabdominal, retroperitoneal, pelvic and non-cardiac intrathoracic surgery
2. Plan for relaxant general anaesthesia with an endotracheal tube
3. Surgery expected to last greater than or equal to 2 hours
4.Expected hospital stay of greater than or equal to 1 postoperative night

Exclusion Criteria

1. Unable to provide written informed consent (e.g., language barrier, intellectual disability, cognitive deficit, urgent surgery)
2. Plan for skin incision and/or vascular access at or below the inguinal ligament without an abdominal or thoracic skin incision
3. Plan for intraoperative administration of neuromuscular blocking drug other than rocuronium and vecuronium
4. Plan to reverse neuromuscular blockade during surgery
5. Plan to allow spontaneous complete recovery from neuromuscular blockade during surgery
6. Contraindication to sugammadex or neostigmine
7. Plan for elective postoperative invasive ventilation
8. Previously randomised to the trial

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Incidence of a composite of death from all causes and new pulmonary complications as assessed by trial coordinators from patient history and medical record review during postoperative visits [ From admission to post anaesthesia care unit until hospital discharge (or postoperative day 7 if still in hospital) ]
Secondary Outcome Measures
NameTimeMethod
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