General Anesthesia With and Without Muscle Relaxation and Muscle Strength Recovery
Comparison of General Anesthesia With Use of Muscle Relaxation and General Anesthesia Without Muscle Relaxation on Recovery of Muscle Strength of the Patients
1 other identifier
interventional
60
1 country
1
Brief Summary
Neuromuscular blocking agents are often used during general anesthesia. Also, general anesthesia may be performed without use of neuromuscular blocking agents. Avoiding neuromuscular relaxation enables better muscle strength recovery.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for phase_4
Started Apr 2020
Typical duration for phase_4
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
April 1, 2020
CompletedFirst Submitted
Initial submission to the registry
February 17, 2021
CompletedFirst Posted
Study publicly available on registry
February 18, 2021
CompletedPrimary Completion
Last participant's last visit for primary outcome
August 20, 2022
CompletedStudy Completion
Last participant's last visit for all outcomes
September 20, 2022
CompletedJanuary 21, 2026
January 1, 2026
2.4 years
February 17, 2021
January 17, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Muscle strenght recovery after general anesthesia
Change in muscle strength recovery measured with hand grip dynamometer after general anesthesia with or without rocuronium. Better understanding of mechanism how neuromuscular blockade influences quality if patient recovery due to muscle strength recovery
Perioperative
Study Arms (2)
Experimental group general anesthesia without rocuronium
EXPERIMENTAL30 patient ASA classification 1-2 for general anesthesia. Standard anesthesia monitoring. After induction with Propofol and Sufentanil ( doses adjusted according to weight and age) anesthesia was maintained with sevorane. Muscle strength measured on three occasions with Yamar dinamometar for hand grip strength, before induciran to anesthesia and immediate after Salingeru from anesthesia, then again measured in first 24 hours.
Active comparator: general anesthesia with rocuronium
ACTIVE COMPARATOR30 patient ASA classification 1-2 for general anesthesia. Standard anesthesia monitoring with train-of-four (TOF). After induction with Propofol and Sufentanil (doses adjusted according to weight and age) and rocuronium 0,6 mg per kg, anesthesia maintained with sevorane. Muscle strength neasured with Yamar dinamometar for hand grip strength before induction to anesthesia and immediate after awakening from anesthesia, then again measured in first 24 hours.
Interventions
Rocuronium used for neuromuscular blokade during anesthesia and anesthesia without rocuronium
General anesthesia with standard anesthetic monitoring,
Eligibility Criteria
You may qualify if:
- patients ASA status I-III for surgery under general anesthesia
- signed informed consent for participating in research
You may not qualify if:
- neuromuscular disease
- poorly controled chronic or acute cardiovascular, respiratory or autoimmune disease
- known allergic reaction to any medication used in this research
- pregnancy
- refusal to participate in this research
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
UHCZagreb
Zagreb, 10000, Croatia
Related Publications (3)
Bowman WC. The neuromuscular junction: recent developments. Eur J Anaesthesiol. 1985 Mar;2(1):59-93. No abstract available.
PMID: 2410263BACKGROUNDGatke MR, Viby-Mogensen J, Rosenstock C, Jensen FS, Skovgaard LT. Postoperative muscle paralysis after rocuronium: less residual block when acceleromyography is used. Acta Anaesthesiol Scand. 2002 Feb;46(2):207-13. doi: 10.1034/j.1399-6576.2002.460216.x.
PMID: 11942873BACKGROUNDFuchs-Buder T, Schmartz D. [Residual neuromuscular blockade]. Anaesthesist. 2017 Jun;66(6):465-476. doi: 10.1007/s00101-017-0325-1. German.
PMID: 28573344BACKGROUND
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Design
- Study Type
- interventional
- Phase
- phase 4
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Who Masked
- PARTICIPANT, INVESTIGATOR
- Purpose
- OTHER
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Principal investigator
Study Record Dates
First Submitted
February 17, 2021
First Posted
February 18, 2021
Study Start
April 1, 2020
Primary Completion
August 20, 2022
Study Completion
September 20, 2022
Last Updated
January 21, 2026
Record last verified: 2026-01