Unique ID issued by UMIN | UMIN000033178 |
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Receipt number | R000037836 |
Scientific Title | Evaluation of surgical condition during Interventional Neuroradiology (INR) in patients with deep vs moderate neuromuscular block |
Date of disclosure of the study information | 2018/07/06 |
Last modified on | 2020/12/08 10:30:35 |
Evaluation of surgical condition during Interventional Neuroradiology (INR) in patients with deep vs moderate neuromuscular block
Evaluation of surgical condition during Interventional Neuroradiology (INR) in patients with deep vs moderate neuromuscular block
Evaluation of surgical condition during Interventional Neuroradiology (INR) in patients with deep vs moderate neuromuscular block
Evaluation of surgical condition during Interventional Neuroradiology (INR) in patients with deep vs moderate neuromuscular block
Asia(except Japan) |
Randomized controlled observational study
Anesthesiology |
Others
NO
surgical condition
Others
recovery time, hemodynamic change
Others
Others
Not applicable
surgical condition rating by surgeon
recovery time, hemodynamic change
Interventional
Parallel
Randomized
Individual
Double blind -all involved are blinded
Dose comparison
NO
NO
Institution is not considered as adjustment factor.
NO
Numbered container method
2
Treatment
Maneuver |
In the course of performing interventional procedures of cerebrovascular disease under general anesthesia, one of two methods of using muscle relaxant is selected randomly.
1. deep neuromuscular block
The degree of muscle relaxation during surgery was continuously monitored by TOF-Watch SX, a muscle relaxation monitor attached to the patient's ulnar nerve, and maintained a deep muscle relaxation state, PTC count 1-2, in the experimental group.
A. TOF count of 3 or more: Rocuronium 0.15 mg / kg is administered in both experimental and control groups.
B. TOF count is 1 or 2: rocuronium 0.15 mg / kg is administered in the experimental group. Control group is observed.
C. TOF count is 0: PTC count is measured in the experimental group. Control group is observed. And, PTC count 0,1,2: Observe the experimental group. Or PTC count 3 or more: Administer rocuronium 0.15 mg / kg in the experimental group.
D. TOF count monitoring should be maintained continuously at intervals of 12 seconds.
In the course of performing interventional procedures of cerebrovascular disease under general anesthesia, one of two methods of using muscle relaxant is selected randomly.
2. moderate neuromuscular block
The degree of muscle relaxation during surgery was continuously monitored by TOF-Watch SX, a muscle relaxation monitor attached to the patient's ulnar nerve, and maintained a deep muscle relaxation state, PTC count 1-2, in the experimental group.
A. TOF count of 3 or more: Rocuronium 0.15 mg / kg is administered in both experimental and control groups.
B. TOF count is 1 or 2: rocuronium 0.15 mg / kg is administered in the experimental group. Control group is observed.
C. TOF count is 0: PTC count is measured in the experimental group. Control group is observed. And, PTC count 0,1,2: Observe the experimental group. Or PTC count 3 or more: Administer rocuronium 0.15 mg / kg in the experimental group.
D. TOF count monitoring should be maintained continuously at intervals of 12 seconds.
19 | years-old | <= |
65 | years-old | >= |
Male and Female
The American Society of Anesthesiologists (ASA) Class I and II patients who were admitted to our institution to undergo regular surgery were enrolled in this study.
1. American Academy of Anesthesiology ASA physical classification 3 or 4
2. Patients with a history of myasthenia gravis
3. Patients with renal impairment: serum creatinine more than 2 times normal, urine volume <0.5 ml / kg / hr, GFR <60 ml / hr, with proteinuria
4. Patients with allergy to rocuronium
5. Patients with a history of malignant hypertension
6. 18.5 kg / m2 <BMI <30 kg / m2 does not fall into this category
7. Patients who refuse to participate in the study or can not receive informed consent
58
1st name | |
Middle name | |
Last name | Jin Hee Kim |
Seoul National University Bundang Hospital
Department of Anesthesiology and Pain Medicine
82 Gumi-ro, 173 Beon-gil, Bundang-gu, Seongnam, Gyeonggi-do, Republic of Korea
82-31-787-7499
89583@snubh.org
1st name | |
Middle name | |
Last name | Bo Young Kim |
Seoul National University Bundang Hospital
Department of Anesthesiology and Pain Medicine
82 Gumi-ro, 173 Beon-gil, Bundang-gu, Seongnam, Gyeonggi-do, Republic of Korea
82-31-787-7499
notinvasive@gmail.com
Seoul National University Bundang Hospital
Seoul National University Bundang Hospital
Self funding
NO
2018 | Year | 07 | Month | 06 | Day |
Unpublished
Completed
2018 | Year | 07 | Month | 02 | Day |
2018 | Year | 06 | Month | 20 | Day |
2018 | Year | 07 | Month | 02 | Day |
2018 | Year | 12 | Month | 13 | Day |
2018 | Year | 12 | Month | 13 | Day |
2018 | Year | 12 | Month | 13 | Day |
2019 | Year | 09 | Month | 11 | Day |
2018 | Year | 06 | Month | 28 | Day |
2020 | Year | 12 | Month | 08 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000037836
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