Comparison of The Severity of Agitation of Sugammadex and Atropine-Nesostigmine in Adenotonsillectomy

NCT ID: NCT03571867

Last Updated: 2018-06-28

Study Results

Results pending

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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Recruitment Status

UNKNOWN

Total Enrollment

70 participants

Study Classification

OBSERVATIONAL

Study Start Date

2018-07-01

Study Completion Date

2018-11-01

Brief Summary

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the use of sugammadex during the reversal of neuromuscular blocking after adenotonsillectomy surgery in pediatric patients would be advantageous in terms of patient comfort and reducing side effects. Thus, we aimed to evaluate the time to extubation, agitation and pain scores in pediatric patients who underwent adenotonsillectomy and awakened with neostigmine and sugammadex in our study.

Detailed Description

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A total of 70 patients in the American Society of Anesthesiologists (ASA) I-II risk group, aged 5-13 years, who will be undergoing adenotonsillectomy with recurrent / chronic tonsillitis or obstructive sleep apnea in the otorhinolaryngology clinic of our hospital were included. Investigator did not assign specific interventions to the study participants. Patients were selected to sugammadex + saline group (Group S) and neostigmin+atropine group (Group N) and 35 patients were seleceted for each group randomly. Patients receive interventions as part of routine medical care, and a researcher studies the effect of the intervention.

Tracheal extubation time (from discontinuing anesthetics until extubation), Duration of anesthesia (from the injection of anesthetic until discontinuation) duration of the operation (from the injection of anesthetic until until the patient's discharge from the operating room) were recorded for each patient.

We assessed the agitation level with the Pediatric Anesthesia Emergence Delirium (PAED), which provides a score from 0 to 20, at first 15 minutes (T0), 1st (T1), 4th (T4), 8th (T8) and 12th (T12) hours post-extubation

Conditions

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The Severity of Agitation in Adenotonsillectomy in Pediatric Patients

Study Design

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Observational Model Type

OTHER

Study Time Perspective

PROSPECTIVE

Study Groups

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group Sugammadex

After surgery, while the TOF count was 2/4, the residual muscle relaxation was antagonized with 2 mg/kg iv sugammadex + 0.01 ml/kg saline in Group S

No interventions assigned to this group

group Neostigmine

After surgery, while the TOF count was 2/4, the residual muscle relaxation was antagonized with 0.02 mg/kg neostigmin+0.01 mg/kg atropine in Group N.

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

* patient who will be undergoing adenotonsillectomy with recurrent / chronic tonsillitis or obstructive sleep apnea in the otorhinolaryngology clinic
* American Society of Anesthesiologists (ASA) I-II risk group,
* aged 5-13 years,

Exclusion Criteria

* patients with history of allergy to any medication used during general anesthesia,
* known or suspected neuromuscular disorders that impair neuromuscular blockade,
* liver and kidney disease,
* asthma,
* bleeding diathesis.
* Written and verbal consents were obtained from the legal guardians of the patients who are blınded of the groups to participate in the study.
Minimum Eligible Age

5 Years

Maximum Eligible Age

13 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Sakarya University

OTHER

Sponsor Role lead

Responsible Party

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Havva Sayhan

assistant professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Havva Sayhan, Assis Prof

Role: STUDY_CHAIR

Sakarya University

Locations

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Sakarya University Research and Training Hospital

Sakarya, , Turkey (Türkiye)

Site Status RECRUITING

Countries

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Turkey (Türkiye)

Central Contacts

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Havva Sayhan, Assis Prof

Role: CONTACT

+905056621021

müge yılmaz, MD

Role: CONTACT

+905056621021

Facility Contacts

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Havva Sayhan, Assis Prof

Role: primary

+905056621021

müge yılmaz

Role: backup

References

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Mohkamkar M Bs, Farhoudi F Md, Alam-Sahebpour A Md, Mousavi SA Md, Khani S PhD, Shahmohammadi S BSc. Postanesthetic Emergence Agitation in Pediatric Patients under General Anesthesia. Iran J Pediatr. 2014 Apr;24(2):184-90.

Reference Type BACKGROUND
PMID: 25535538 (View on PubMed)

Other Identifiers

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sugammadex

Identifier Type: -

Identifier Source: org_study_id

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