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临床试验/NCT05882643
NCT05882643招募中不适用

The Effect of the Deep Neuromuscular Block on the Refraction and the Oculocardiac Reflex During Strabismus Surgery in Pediatric Patients - a Prospective Randomized Controlled Trial

Seoul National University Hospital2 个研究点 分布在 2 个国家目标入组 204 人开始时间: 2024年8月28日最近更新:
适应症

试验速览

阶段
不适用
状态
招募中
入组人数
204
试验地点
2
主要终点
The incidence of grade 2 or greater oculocardiac reflex (induced, during strabismus surgery)

研究概览

简要总结

The purpose of this study is to determine if inducing a moderate or greater neuromuscular block (TOF count 0-3) when performing a neuromuscular block in pediatric patients aged 3 to 18 years undergoing strabismus surgery under general anesthesia can reduce the incidence of the oculocardiac reflex.

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Prevention
盲法
Double (Participant, Outcomes Assessor)

入排标准

年龄范围
3 Years 至 18 Years(Child, Adult)
性别
All
接受健康志愿者

入选标准

  • Pediatric patients between the ages of 3 and 18 who are American Society of Anesthesiologists physical classification (ASA) I, II, or III scheduled for strabismus surgery under general anesthesia.

排除标准

  • Patients with underlying cardiovascular disease
  • Patients with preoperative electrocardiograms showing conduction disturbances
  • Patients with neuromuscular disease
  • Any other patient who, in the opinion of the investigator, is not a good candidate for the study.

结局指标

主要结局

The incidence of grade 2 or greater oculocardiac reflex (induced, during strabismus surgery)

时间窗: During induced oculocardiac reflex test by ophthalmologists

\> 20% reduction in heart rate induced by intentional manipulation of the extraocular rectus muscle

次要结局

  • The incidence of grade 1 oculocardiac reflex (induced, during strabismus surgery)(During induced oculocardiac reflex test by ophthalmologists)
  • Number of times Rescue IV Atropine has been used for oculocardiac reflex(During general anesthesia for strabismus surgery (within 2 hour))
  • Results from a refraction test before strabismus surgery(Before strabismus surgery (within 12 month))
  • The incidence of grade 2 or greater oculocardiac reflex (during strabismus surgery)(During general anesthesia for strabismus surgery (within 2 hour))
  • Postoperative nausea/vomiting(From extubation to post-anesthesia care unit stay (within 1 hour))
  • The incidence of grade 1 greater oculocardiac reflex (during strabismus surgery)(During general anesthesia for strabismus surgery (usually within 2 hour))
  • Results from a refraction test at strabismus surgery(During general anesthesia for strabismus surgery (within 2 hour))
  • The incidence of hypotension(During general anesthesia for strabismus surgery (within 2 hour))

研究者

申办方类型
Other
责任方
Principal Investigator
主要研究者

Young-Eun Jang

Clinical Associate Professor

Seoul National University Hospital

研究点 (2)

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