Evaluation of Monitoring Neuromuscular Blockade the Flexor Hallucis Compared to the Adductor Pollicis
NCT ID: NCT02825121
Last Updated: 2017-10-05
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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COMPLETED
NA
60 participants
INTERVENTIONAL
2016-02-29
2017-09-30
Brief Summary
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However, in certain situations (laparoscopic surgery, cranial surgery or surgical comfort, arterial catheterization), it is impossible to access the patient's wrists, delaying monitoring, antagonizing the neuromuscular block, the emergence from anesthesia and patient extubation , leading in some cases to single injections lack of control of the reversal of the patient.
To overcome these technical difficulties, a group nerve / muscle looks interesting and often easily accessible to the anesthesiologist.
The stimulation of the posterior tibial nerve can observe a response to the flexor hallucis brevis muscle and allows quick access to monitoring the reversal before the end of the intervention.
The primary outcome was to compare the speed of recovery from neuromuscular block flexor hallux versus that of the adductor pollicis.
The secondary objective was to compare the speed of installation of deep neuromuscular block flexor hallucis versus that of the adductor pollicis.
This is a prospective, exploratory, uncontrolled, single-center for routine care.
Are included all aged patients over 18 years, ASA I or II, without guardianship, having no known allergy to Atracurium, without neuromyopathy known, emergency surgery or full stomach, predictable difficult intubation .
Detailed Description
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Conditions
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Study Design
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NON_RANDOMIZED
SINGLE_GROUP
DIAGNOSTIC
NONE
Study Groups
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Monitoring Neuromuscular Blockade
Monitoring Neuromuscular Blockade the Flexor Hallucis and adductor of the thumb.
Monitoring Neuromuscular Blockade the Flexor Hallucis
Monitoring Neuromuscular Blockade adductor of the thumb.
Interventions
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Monitoring Neuromuscular Blockade the Flexor Hallucis
Monitoring Neuromuscular Blockade adductor of the thumb.
Eligibility Criteria
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Inclusion Criteria
* Any elective surgery with single or multiple injection Atracurium for which hand and foot are accessible at the same time.
* ASA I or II patients
* free subject, without guardianship or subordination
* No opposition given by the patient after information
Exclusion Criteria
* known neuromyopathy
* Diabetics
* Emergency surgery and a full stomach
* predictable difficult intubation
* Pregnant or breastfeeding women, women of childbearing age who do not have effective contraception
18 Years
ALL
No
Sponsors
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Poitiers University Hospital
OTHER
Responsible Party
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Locations
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Poitiers Universitary Hospital
Poitiers, , France
Countries
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References
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Le Merrer M, Frasca D, Dupuis M, Debaene B, Boisson M. A comparison between the flexor hallucis brevis and adductor pollicis muscles in atracurium-induced neuromuscular blockade using acceleromyography: A prospective observational study. Eur J Anaesthesiol. 2020 Jan;37(1):38-43. doi: 10.1097/EJA.0000000000001090.
Other Identifiers
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CURHATOF
Identifier Type: -
Identifier Source: org_study_id