Influence of Profound Muscle Relaxation on Muscle Trauma and Postoperative Pulmonary Function
试验速览
- 阶段
- 4 期
- 发起方
- 入组人数
- 72
- 试验地点
- 1
- 主要终点
- degree of muscle trauma
研究概览
简要总结
Although deep anesthesia can produce skeleton muscle relaxation,unnecessary deep anesthesia often had adverse cardiac effects and was related to 2-year mortality in cancer patients.The use of muscle relaxants allowed the depth of anesthesia to be optimized.However, for many anesthesiologists,in fear of residual postoperative neuromuscular blockade,intraoprative administration of muscle relaxants had to be minimized in spite of poor surgical conditions.
This study, however, is designed to test the hypothesis that profound neuromusclular blockade reduces muscle trauma caused by self-retaining retractor and thus cut down postoperative analgesic requirement.On the other hand,profound muscle relaxation can decrease postoperative diaphragmatic dysfunction and abdominal muscle trauma, which can improve postoperative pulmonary function.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 65 Years(Adult, Older Adult)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •ASA 1~2,scheduled to undergo upper abdominal surgery by midline incision
排除标准
- •neuromuscular disorder
- •history of malignant hyperthemia
- •allergy to medications used during general anesthesia
研究组 & 干预措施
optimal neuromuscular blockade
Rocuronium dose will be infused to maintain depth of NMB at TOF count 1 intraoperatively
干预措施: profound neuromuscular blockade (Drug)
profound neuromuscular blockade
Rocuronium dose will be infused to maintain a depth of NMB to PTC 1~2 intraoperatively
干预措施: profound neuromuscular blockade (Drug)
结局指标
主要结局
degree of muscle trauma
时间窗: 72h postoperatively
serum CK
次要结局
- postoperative analgesic requirement(7days postoperatively)
研究者
Ying Xiao
Associate Professor
First Affiliated Hospital, Sun Yat-Sen University
