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Sugammadex is used to reverse the neuromuscular blocking effect of steroid neuromuscular blockers. Its cardiovascular effects and effect on brain cortex, if any, may be associated to the reversal of the neuromuscular block. The aim of the study was to investigate the pure effects of sugammadex in the absence of the agonist.
Three groups of patients undergoing elective major surgery and given cis-atracurium for muscle relaxation are studied.
Group 1 receives 2 mg/kg of sugammadex when a count of two of the train of four appears Group 2 receives 4 mg/kg of sugammadex when a posttetanic count 1-3 appears Group 3 receives 16 mg/kg of sugammadex three minutes after administration of cis-atracurium.
Heart rate, arterial blood pressure, oxygen saturation, end-tidal CO2, entropy and bispectral index are recorded every three minutes
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| sugammadex 2 mg/kg | Active Comparator | 2 mg/kg of sugammadex are given when a response of two counts of train of four are present |
|
| 4 mg/kg of sugammadex | Active Comparator | 4 mg/kg of sugammadex are given when a posttetanic count 1-3 appears |
|
| Sugammadex 16 mg/kg | Active Comparator | Sugammadex 16 mg/kg are given three minutes after the injection of cis-atracurium |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| sugammadex | Drug | Sugammadex 2 mg/kg when a two count of train of four appears |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Entropy | every three minutes |
| Measure | Description | Time Frame |
|---|---|---|
| hemodynamics | every three minutes |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Argyro Fassoulaki, MD, PhD, DEAA | Contact | +30210 9024530 | fassoula@aretaieio.uoa.gr | |
| Konstantinos Chondrogiannis, MD | Contact |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Department of Anesthesiology, Aretaieio Hospital | Recruiting | Athens | 11528 | Greece |
| Type | Date | Date Unknown |
|---|---|---|
| Release | Mar 14, 2016 | |
| Unrelease | Yes |
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| Release Date | Unrelease Date | Unrelease Date Unknown | Reset Date | MCP Release Number |
|---|---|---|---|---|
| Mar 14, 2016 | Yes |
| ID | Term |
|---|---|
| D000077122 | Sugammadex |
| ID | Term |
|---|---|
| D047408 | gamma-Cyclodextrins |
| D003505 | Cyclodextrins |
| D047028 | Macrocyclic Compounds |
| D011083 | Polycyclic Compounds |
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| Sugammadex 4 mg/kg |
| Drug |
Sugammadex 4 mg/kg are given when a posttetanic count 1-3 appears |
|
| Sugammadex 16mg/kg | Drug | Sugammadex 16 mg/kg three minutes after the injection of cis-atracurium |
|
| D003912 |
| Dextrins |
| D013213 | Starch |
| D005936 | Glucans |
| D011134 | Polysaccharides |
| D002241 | Carbohydrates |