Respiratory Mechanics and Metabolic Changes During Low Pressure Laparoscopic Cholecystectomy
The Impact of Deep Versus Moderate Neuromuscular Block on Respiratory System Mechanics and Metabolic Changes During Laparoscopic Cholecystectomy a Double-Blind Randomized Clinical Trial.
1 other identifier
interventional
40
1 country
1
Brief Summary
The investigators aim to investigate the differences between deep continuous muscle relaxation and moderate blockade during low-pressure (8 mmHg) laparoscopic cholecystectomy in respect to metabolic changes and respiratory mechanics.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for phase_2
Started Oct 2014
Shorter than P25 for phase_2
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
October 1, 2014
CompletedFirst Submitted
Initial submission to the registry
May 24, 2015
CompletedFirst Posted
Study publicly available on registry
June 12, 2015
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2015
CompletedStudy Completion
Last participant's last visit for all outcomes
January 1, 2016
CompletedMarch 28, 2017
March 1, 2017
1.2 years
May 24, 2015
March 25, 2017
Conditions
Outcome Measures
Primary Outcomes (1)
respiratory mechanics (Dynamic compliance)
Dynamic compliance
intraoperative
Secondary Outcomes (5)
surgeon satisfaction (scale from 1 to 5)
intraoperative
postoperative pain (VAS score)
postoperative for 6 hours
postoperative nausea and vomiting
postoperative for 6 hours
completion of surgical procedure
intraoperative
metabolic changes (blood lactate)
intraoperative
Study Arms (2)
group D
ACTIVE COMPARATORdeep neuromuscular block by rocuronium defined :post tetanic (PTC) \>1 but no response to a train of four (TOF) stimulation.
group I
ACTIVE COMPARATORintermediate neuromuscular block by rocuronium defined as TOF count of 1-3.
Interventions
Eligibility Criteria
You may qualify if:
- more than 18 years
- undergoing elective laparoscopic cholecystectomy
You may not qualify if:
- previous surgeries,
- a history of venous or arterial diseases,
- BMI (≥30 kg/m2),
- Allergy to rocuronium.
- Significant liver dysfunction.
- Significant renal dysfunction (S-creatinine \> 200 umol/l).
- Neuromuscular disease that might impair neuromuscular blockade
- Pregnant or breastfeeding.
- Indication for rapid sequence induction.
- Inability to informed consent
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Al Rajhy liver hospital
Asyut, Asyut Governorate, 71515, Egypt
MeSH Terms
Interventions
Intervention Hierarchy (Ancestors)
Study Officials
- STUDY CHAIR
Osama ibraheim, MD
Assiut University
- STUDY CHAIR
MOSTAFA ABBAS, MD
Assiut University
- STUDY CHAIR
AHMED TAHA, MD
Assiut University
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Who Masked
- PARTICIPANT, CARE PROVIDER
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- lecturer of anaesthesia and ICU
Study Record Dates
First Submitted
May 24, 2015
First Posted
June 12, 2015
Study Start
October 1, 2014
Primary Completion
December 1, 2015
Study Completion
January 1, 2016
Last Updated
March 28, 2017
Record last verified: 2017-03