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Change of practice in the department
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Sugammadex is used as a reversal drug for rocuronium- or vecuronium-induced neuromuscular block during general anaesthesia. IV dexamethasone is injected as a prophylactic measure against postoperative nausea and vomiting. Recent animal data have shown that dexamethasone may impair the reversal effect of sugammadex. The objective of this randomised controlled trial is to confirm in the clinical practice these preliminary results.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| No IV dexamethasone | Placebo Comparator | Patients will receive an equivalent volume of normal saline. |
|
| IV dexamethasone | Experimental | Patients will receive 0.1 mg/kg of dexamethasone. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Normal saline | Drug |
| ||
| IV dexamethasone |
| Measure | Description | Time Frame |
|---|---|---|
| Mean recovery time for T4/T1 ratio > 90% after sugammadex administration | surgical procedure |
| Measure | Description | Time Frame |
|---|---|---|
| Mean recovery time for T4/T1 ratio > 80% after sugammadex administration | surgical procedure | |
| Mean recovery time for T4/T1 ratio > 70% after sugammadex administration | surgical procedure |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Lausanne University Hospital | Lausanne | Canton of Vaud | 1011 | Switzerland |
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| ID | Term |
|---|---|
| D000077330 | Saline Solution |
| D003907 | Dexamethasone |
| ID | Term |
|---|---|
| D000077324 | Crystalloid Solutions |
| D007552 | Isotonic Solutions |
| D012996 | Solutions |
| D004364 | Pharmaceutical Preparations |
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|
| D011246 |
| Pregnadienetriols |
| D011245 | Pregnadienes |
| D011278 | Pregnanes |
| D013256 | Steroids |
| D000072473 | Fused-Ring Compounds |
| D011083 | Polycyclic Compounds |
| D013259 | Steroids, Fluorinated |