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This is an adaptative study where each participant's rocuronium dose will depend on the previous patient's response, being higher if it was not enough and lower if it was more than enough.
Rocuronium is one of the most used neuromuscular blockers to help intubation and to relax abdominal wall for laparoscopic surgery.
Rocuronium intubation dose can be enough for intubation but not last enough for excellent laparoscopic conditions. There is little variation in time from anesthesia induction to the end of the laparoscopy for cholecystectomy and avoiding excess rocuronium dose can help providing excellent conditions and fast track extubation.
Dixon's up-and-down method will guide this dose-finding study for the ED50.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Dose-finding group | Other | The first patient will receive rocuronium 0,6mg/kg. After that, every patient's dose will depend on the outcome of the previous patient. It will go up 0,1mg/kg if the laparoscopic conditions were not excellent or go down 0,1mg/kg otherwise. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| rocuronium | Drug | intravenous rocuronium infusion |
|
| Measure | Description | Time Frame |
|---|---|---|
| Excellent laparoscopic conditions | Subjective laparoscopic conditions for surgery, assessed by the main surgeon, as excellent or not | 30 minutes |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Gabriel MN Guimaraes, MsC | Universidade de Brasilia | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hospital das Forças armadas | BrasÃlia | Federal District | 700000000 | Brazil |
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| ID | Term |
|---|---|
| D000077123 | Rocuronium |
| ID | Term |
|---|---|
| D000732 | Androstanols |
| D000731 | Androstanes |
| D013256 | Steroids |
| D000072473 | Fused-Ring Compounds |
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Dose-finding using Dixon's up-and-down adaptative clinical trial
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Participant receives hypnotic (propofol) before we use the drug
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| D011083 |
| Polycyclic Compounds |