The Laparotomy Study

NCT ID: NCT02140593

Last Updated: 2017-04-20

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

128 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-09-30

Study Completion Date

2016-06-30

Brief Summary

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The depth of neuromuscular blockade (NMB) during surgery may cause a clinical dilemma between optimal surgical conditions and the risk of postoperative residual blockade.

The aim of the study is to investigate if intense NMB improves surgical conditions during operation in patients scheduled for elective open upper abdominal surgery.

Detailed Description

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Conditions

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Gastrointestinal Cancer

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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Standard neuromuscular blockade

Rocuronium 0.6 mg/kg followed by bolus rocuronium according to standard treatment decided by the attending anesthetist combined with saline infusion (placebo).

Group Type PLACEBO_COMPARATOR

Group STANDARD: Rocuronium 0.6 mg/kg followed by bolus rocuronium according to standard treatment combined with saline infusion (placebo).

Intervention Type DRUG

Deep neuromuscular blockade

Rocuronium 0.6 mg/kg followed by rocuronium infusion with target level post tetanic count (PTC) of 0-1 combined with bolus saline (placebo) mimicking standard treatment.

Group Type ACTIVE_COMPARATOR

Group DEEP: Rocuronium 0.6 mg/kg followed by rocuronium infusion with target level PTC 0-1 combined with bolus saline (placebo) mimicking standard treatment.

Intervention Type DRUG

Interventions

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Group STANDARD: Rocuronium 0.6 mg/kg followed by bolus rocuronium according to standard treatment combined with saline infusion (placebo).

Intervention Type DRUG

Group DEEP: Rocuronium 0.6 mg/kg followed by rocuronium infusion with target level PTC 0-1 combined with bolus saline (placebo) mimicking standard treatment.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Patients \> 18 years old
* Elective open upper abdominal surgery
* Can read and understand Danish
* Informed consent

Exclusion Criteria

* Known allergy to rocuronium or sugammadex
* Severe renal disease, defined by S-creatinine\> 0.200 mmol/L, GFR \< 30ml/min or hemodialysis
* Neuromuscular disease that may interfere with neuromuscular data
* Abdominal mesh with size larger than 5\*5 cm
* Lactating or pregnant
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Herlev Hospital

OTHER

Sponsor Role lead

Responsible Party

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Matias Vested Madsen

MD, research assistant

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Matias V Madsen, MD

Role: PRINCIPAL_INVESTIGATOR

Herlev Hospital

Locations

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Aarhus University Hospital Nørrebrogade

Aarhus, , Denmark

Site Status

Countries

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Denmark

References

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Madsen MV, Scheppan S, Mork E, Kissmeyer P, Rosenberg J, Gatke MR. Influence of deep neuromuscular block on the surgeons assessment of surgical conditions during laparotomy: a randomized controlled double blinded trial with rocuronium and sugammadex. Br J Anaesth. 2017 Sep 1;119(3):435-442. doi: 10.1093/bja/aex241.

Reference Type DERIVED
PMID: 28969327 (View on PubMed)

Madsen MV, Scheppan S, Kissmeyer P, Mork E, Rosenberg J, Gatke MR. Neuromuscular blockade for improvement of surgical conditions during laparotomy: protocol for a randomised study. Dan Med J. 2015 Oct;62(10):A5139.

Reference Type DERIVED
PMID: 26441396 (View on PubMed)

Other Identifiers

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2014-001155-22

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

Lap2014NMB

Identifier Type: -

Identifier Source: org_study_id

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