Trial Outcomes & Findings for Role of Sugammadex as Reversal Agent in Patients Extubated Immediately After Isolated Coronary Artery Bypass Grafting Surgery (NCT NCT03939923)

NCT ID: NCT03939923

Last Updated: 2023-12-27

Results Overview

Time to extubation: West Virginia University Hospitals use an electronic medical record (EMR) to chart "procedure stop." The definition for "time to extubation" is from the time the investigators chart "procedure stop" to the time of "extubation".

Recruitment status

COMPLETED

Study phase

PHASE4

Target enrollment

84 participants

Primary outcome timeframe

0 minutes of study drug to 3 days after study drug administration

Results posted on

2023-12-27

Participant Flow

Participant milestones

Participant milestones
Measure
Neostigmine/Glycopyrrolate
Group 1: Intubation with rocuronium at 1.0-1.2 mg/kg (vitals maintained within 20% of baseline). Subjects may be re-dosed with rocuronium at 0.1-0.4 mg/kg during the procedure to maintain 1-2 twitches on TOF watch monitor reading recorded every 15 minutes. Group 1 (control) will receive reversal with neostigmine (0.04-0.07 mg/kg up to 5 mg maximal dosage) and glycopyrrolate (0.07-0.015mg/kg up to 1 mg maximal dosage). Rocuronium: Intubation with Rocuronium 1.0-1.2 mg/kg (vitals maintained within 20% of baseline. Subjects may be re-dosed with rocuronium at 0.1-0.4 mg/kg during the procedure. Neostigmine: Reversal with neostigmine (0.04-0.07 mg/kg up to 5 mg maximal dosage) Glycopyrrolate: Reversal glycopyrrolate (0.07-0.015mg/kg up to 1 mg maximal dosage)
Sugammadex
Group 2: Intubation with rocuronium at 1.0-1.2 mg/kg (vitals maintained within 20% of baseline). Subjects may be re-dosed with rocuronium at 0.1-0.4 mg/kg during the procedure to maintain 1-2 twitches on TOF watch monitor reading recorded every 15 minutes. Group 2 (treatment) will receive reversal with Sugammadex (2mg/kg). Rocuronium: Intubation with Rocuronium 1.0-1.2 mg/kg (vitals maintained within 20% of baseline. Subjects may be re-dosed with rocuronium at 0.1-0.4 mg/kg during the procedure. Sugammadex: Reversal with Sugammadex (2mg/kg)
Overall Study
STARTED
42
42
Overall Study
COMPLETED
36
35
Overall Study
NOT COMPLETED
6
7

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Race and Ethnicity were not collected from any participant.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Neostigmine/Glycopyrrolate
n=36 Participants
Group 1: Intubation with rocuronium at 1.0-1.2 mg/kg (vitals maintained within 20% of baseline). Subjects may be re-dosed with rocuronium at 0.1-0.4 mg/kg during the procedure to maintain 1-2 twitches on TOF watch monitor reading recorded every 15 minutes. Group 1 (control) will receive reversal with neostigmine (0.04-0.07 mg/kg up to 5 mg maximal dosage) and glycopyrrolate (0.07-0.015mg/kg up to 1 mg maximal dosage). Rocuronium: Intubation with Rocuronium 1.0-1.2 mg/kg (vitals maintained within 20% of baseline. Subjects may be re-dosed with rocuronium at 0.1-0.4 mg/kg during the procedure. Neostigmine: Reversal with neostigmine (0.04-0.07 mg/kg up to 5 mg maximal dosage) Glycopyrrolate: Reversal glycopyrrolate (0.07-0.015mg/kg up to 1 mg maximal dosage)
Sugammadex
n=35 Participants
Group 2: Intubation with rocuronium at 1.0-1.2 mg/kg (vitals maintained within 20% of baseline). Subjects may be re-dosed with rocuronium at 0.1-0.4 mg/kg during the procedure to maintain 1-2 twitches on TOF watch monitor reading recorded every 15 minutes. Group 2 (treatment) will receive reversal with Sugammadex (2mg/kg). Rocuronium: Intubation with Rocuronium 1.0-1.2 mg/kg (vitals maintained within 20% of baseline. Subjects may be re-dosed with rocuronium at 0.1-0.4 mg/kg during the procedure. Sugammadex: Reversal with Sugammadex (2mg/kg)
Total
n=71 Participants
Total of all reporting groups
Age, Continuous
61.5 years
STANDARD_DEVIATION 8.36 • n=36 Participants
62.1 years
STANDARD_DEVIATION 8.77 • n=35 Participants
61.8 years
STANDARD_DEVIATION 8.56 • n=71 Participants
Sex: Female, Male
Female
11 Participants
n=36 Participants
10 Participants
n=35 Participants
21 Participants
n=71 Participants
Sex: Female, Male
Male
25 Participants
n=36 Participants
25 Participants
n=35 Participants
50 Participants
n=71 Participants
Race and Ethnicity Not Collected
0 Participants
Race and Ethnicity were not collected from any participant.

PRIMARY outcome

Timeframe: 0 minutes of study drug to 3 days after study drug administration

Time to extubation: West Virginia University Hospitals use an electronic medical record (EMR) to chart "procedure stop." The definition for "time to extubation" is from the time the investigators chart "procedure stop" to the time of "extubation".

Outcome measures

Outcome measures
Measure
Neostigmine/Glycopyrrolate
n=36 Participants
Group 1: Intubation with rocuronium at 1.0-1.2 mg/kg (vitals maintained within 20% of baseline). Subjects may be re-dosed with rocuronium at 0.1-0.4 mg/kg during the procedure to maintain 1-2 twitches on TOF watch monitor reading recorded every 15 minutes. Group 1 (control) will receive reversal with neostigmine (0.04-0.07 mg/kg up to 5 mg maximal dosage) and glycopyrrolate (0.07-0.015mg/kg up to 1 mg maximal dosage). Rocuronium: Intubation with Rocuronium 1.0-1.2 mg/kg (vitals maintained within 20% of baseline. Subjects may be re-dosed with rocuronium at 0.1-0.4 mg/kg during the procedure. Neostigmine: Reversal with neostigmine (0.04-0.07 mg/kg up to 5 mg maximal dosage) Glycopyrrolate: Reversal glycopyrrolate (0.07-0.015mg/kg up to 1 mg maximal dosage)
Sugammadex
n=35 Participants
Group 2: Intubation with rocuronium at 1.0-1.2 mg/kg (vitals maintained within 20% of baseline). Subjects may be re-dosed with rocuronium at 0.1-0.4 mg/kg during the procedure to maintain 1-2 twitches on TOF watch monitor reading recorded every 15 minutes. Group 2 (treatment) will receive reversal with Sugammadex (2mg/kg). Rocuronium: Intubation with Rocuronium 1.0-1.2 mg/kg (vitals maintained within 20% of baseline. Subjects may be re-dosed with rocuronium at 0.1-0.4 mg/kg during the procedure. Sugammadex: Reversal with Sugammadex (2mg/kg)
Time to Extubation
10.4 Minutes
Standard Deviation 5.9
6 Minutes
Standard Deviation 4.7

SECONDARY outcome

Timeframe: 0 minutes to 2 hours after study drug administration

Heart rate post-reversal prior to extubation

Outcome measures

Outcome measures
Measure
Neostigmine/Glycopyrrolate
n=36 Participants
Group 1: Intubation with rocuronium at 1.0-1.2 mg/kg (vitals maintained within 20% of baseline). Subjects may be re-dosed with rocuronium at 0.1-0.4 mg/kg during the procedure to maintain 1-2 twitches on TOF watch monitor reading recorded every 15 minutes. Group 1 (control) will receive reversal with neostigmine (0.04-0.07 mg/kg up to 5 mg maximal dosage) and glycopyrrolate (0.07-0.015mg/kg up to 1 mg maximal dosage). Rocuronium: Intubation with Rocuronium 1.0-1.2 mg/kg (vitals maintained within 20% of baseline. Subjects may be re-dosed with rocuronium at 0.1-0.4 mg/kg during the procedure. Neostigmine: Reversal with neostigmine (0.04-0.07 mg/kg up to 5 mg maximal dosage) Glycopyrrolate: Reversal glycopyrrolate (0.07-0.015mg/kg up to 1 mg maximal dosage)
Sugammadex
n=35 Participants
Group 2: Intubation with rocuronium at 1.0-1.2 mg/kg (vitals maintained within 20% of baseline). Subjects may be re-dosed with rocuronium at 0.1-0.4 mg/kg during the procedure to maintain 1-2 twitches on TOF watch monitor reading recorded every 15 minutes. Group 2 (treatment) will receive reversal with Sugammadex (2mg/kg). Rocuronium: Intubation with Rocuronium 1.0-1.2 mg/kg (vitals maintained within 20% of baseline. Subjects may be re-dosed with rocuronium at 0.1-0.4 mg/kg during the procedure. Sugammadex: Reversal with Sugammadex (2mg/kg)
Heart Rate
81.5385 beats per minute
Standard Deviation 13.6302
81.1622 beats per minute
Standard Deviation 10.9735

SECONDARY outcome

Timeframe: 0 minutes to 2 hours after study drug administration

Blood pressure; measure of systolic blood pressure of subject is obtained post-reversal prior to extubation of trachea

Outcome measures

Outcome measures
Measure
Neostigmine/Glycopyrrolate
n=36 Participants
Group 1: Intubation with rocuronium at 1.0-1.2 mg/kg (vitals maintained within 20% of baseline). Subjects may be re-dosed with rocuronium at 0.1-0.4 mg/kg during the procedure to maintain 1-2 twitches on TOF watch monitor reading recorded every 15 minutes. Group 1 (control) will receive reversal with neostigmine (0.04-0.07 mg/kg up to 5 mg maximal dosage) and glycopyrrolate (0.07-0.015mg/kg up to 1 mg maximal dosage). Rocuronium: Intubation with Rocuronium 1.0-1.2 mg/kg (vitals maintained within 20% of baseline. Subjects may be re-dosed with rocuronium at 0.1-0.4 mg/kg during the procedure. Neostigmine: Reversal with neostigmine (0.04-0.07 mg/kg up to 5 mg maximal dosage) Glycopyrrolate: Reversal glycopyrrolate (0.07-0.015mg/kg up to 1 mg maximal dosage)
Sugammadex
n=35 Participants
Group 2: Intubation with rocuronium at 1.0-1.2 mg/kg (vitals maintained within 20% of baseline). Subjects may be re-dosed with rocuronium at 0.1-0.4 mg/kg during the procedure to maintain 1-2 twitches on TOF watch monitor reading recorded every 15 minutes. Group 2 (treatment) will receive reversal with Sugammadex (2mg/kg). Rocuronium: Intubation with Rocuronium 1.0-1.2 mg/kg (vitals maintained within 20% of baseline. Subjects may be re-dosed with rocuronium at 0.1-0.4 mg/kg during the procedure. Sugammadex: Reversal with Sugammadex (2mg/kg)
Blood Pressure (First Measurement of Systolic Blood Pressure Post Reversal)
105.6 mmHg
Standard Deviation 18.2067
112.1 mmHg
Standard Deviation 14.939

SECONDARY outcome

Timeframe: between 30 minutes to 1 hour after extubation

Tidal volume post-reversal prior to extubation

Outcome measures

Outcome measures
Measure
Neostigmine/Glycopyrrolate
n=36 Participants
Group 1: Intubation with rocuronium at 1.0-1.2 mg/kg (vitals maintained within 20% of baseline). Subjects may be re-dosed with rocuronium at 0.1-0.4 mg/kg during the procedure to maintain 1-2 twitches on TOF watch monitor reading recorded every 15 minutes. Group 1 (control) will receive reversal with neostigmine (0.04-0.07 mg/kg up to 5 mg maximal dosage) and glycopyrrolate (0.07-0.015mg/kg up to 1 mg maximal dosage). Rocuronium: Intubation with Rocuronium 1.0-1.2 mg/kg (vitals maintained within 20% of baseline. Subjects may be re-dosed with rocuronium at 0.1-0.4 mg/kg during the procedure. Neostigmine: Reversal with neostigmine (0.04-0.07 mg/kg up to 5 mg maximal dosage) Glycopyrrolate: Reversal glycopyrrolate (0.07-0.015mg/kg up to 1 mg maximal dosage)
Sugammadex
n=35 Participants
Group 2: Intubation with rocuronium at 1.0-1.2 mg/kg (vitals maintained within 20% of baseline). Subjects may be re-dosed with rocuronium at 0.1-0.4 mg/kg during the procedure to maintain 1-2 twitches on TOF watch monitor reading recorded every 15 minutes. Group 2 (treatment) will receive reversal with Sugammadex (2mg/kg). Rocuronium: Intubation with Rocuronium 1.0-1.2 mg/kg (vitals maintained within 20% of baseline. Subjects may be re-dosed with rocuronium at 0.1-0.4 mg/kg during the procedure. Sugammadex: Reversal with Sugammadex (2mg/kg)
Tidal Volume
1.16 Liters
Standard Deviation 0.5957
1.0975 Liters
Standard Deviation 0.4977

SECONDARY outcome

Timeframe: 30-60 minutes post-extubation

Peak flow rate - measured by peak flow meter post-extubation at 30-60 mins

Outcome measures

Outcome measures
Measure
Neostigmine/Glycopyrrolate
n=36 Participants
Group 1: Intubation with rocuronium at 1.0-1.2 mg/kg (vitals maintained within 20% of baseline). Subjects may be re-dosed with rocuronium at 0.1-0.4 mg/kg during the procedure to maintain 1-2 twitches on TOF watch monitor reading recorded every 15 minutes. Group 1 (control) will receive reversal with neostigmine (0.04-0.07 mg/kg up to 5 mg maximal dosage) and glycopyrrolate (0.07-0.015mg/kg up to 1 mg maximal dosage). Rocuronium: Intubation with Rocuronium 1.0-1.2 mg/kg (vitals maintained within 20% of baseline. Subjects may be re-dosed with rocuronium at 0.1-0.4 mg/kg during the procedure. Neostigmine: Reversal with neostigmine (0.04-0.07 mg/kg up to 5 mg maximal dosage) Glycopyrrolate: Reversal glycopyrrolate (0.07-0.015mg/kg up to 1 mg maximal dosage)
Sugammadex
n=35 Participants
Group 2: Intubation with rocuronium at 1.0-1.2 mg/kg (vitals maintained within 20% of baseline). Subjects may be re-dosed with rocuronium at 0.1-0.4 mg/kg during the procedure to maintain 1-2 twitches on TOF watch monitor reading recorded every 15 minutes. Group 2 (treatment) will receive reversal with Sugammadex (2mg/kg). Rocuronium: Intubation with Rocuronium 1.0-1.2 mg/kg (vitals maintained within 20% of baseline. Subjects may be re-dosed with rocuronium at 0.1-0.4 mg/kg during the procedure. Sugammadex: Reversal with Sugammadex (2mg/kg)
Peak Flow Rate
1.4609 L/min
Standard Deviation 0.9968
1.416 L/min
Standard Deviation 0.8466

SECONDARY outcome

Timeframe: Between 30 and 60 minutes post-extubation

In the intensive care unit: If the patient awake and alert, is able to be positioned, can cough when asked, able to follow command to lick top and bottom lip, and is able to breathe freely then a registered nurse bedside swallowing/dysphagia screen is performed at a time point somewhere between 30 and 60 minutes following the operating room extubation. To perform the screen, a teaspoon is used to place distilled water on each subject's tongue, 3 mL each time 2 consecutive times. Then 3 ounces of water intake. The patient is asked to swallow the water to evaluate the swallowing ability. Aspiration of fluid (choking) subjectively divided into 4 categories: normal, no choking or hoarse voice after swallowing; mild, no choking but slight hoarseness of voice; moderate, no choking but a clearly identifiable hoarseness of voice; severe, choking.

Outcome measures

Outcome measures
Measure
Neostigmine/Glycopyrrolate
n=36 Participants
Group 1: Intubation with rocuronium at 1.0-1.2 mg/kg (vitals maintained within 20% of baseline). Subjects may be re-dosed with rocuronium at 0.1-0.4 mg/kg during the procedure to maintain 1-2 twitches on TOF watch monitor reading recorded every 15 minutes. Group 1 (control) will receive reversal with neostigmine (0.04-0.07 mg/kg up to 5 mg maximal dosage) and glycopyrrolate (0.07-0.015mg/kg up to 1 mg maximal dosage). Rocuronium: Intubation with Rocuronium 1.0-1.2 mg/kg (vitals maintained within 20% of baseline. Subjects may be re-dosed with rocuronium at 0.1-0.4 mg/kg during the procedure. Neostigmine: Reversal with neostigmine (0.04-0.07 mg/kg up to 5 mg maximal dosage) Glycopyrrolate: Reversal glycopyrrolate (0.07-0.015mg/kg up to 1 mg maximal dosage)
Sugammadex
n=35 Participants
Group 2: Intubation with rocuronium at 1.0-1.2 mg/kg (vitals maintained within 20% of baseline). Subjects may be re-dosed with rocuronium at 0.1-0.4 mg/kg during the procedure to maintain 1-2 twitches on TOF watch monitor reading recorded every 15 minutes. Group 2 (treatment) will receive reversal with Sugammadex (2mg/kg). Rocuronium: Intubation with Rocuronium 1.0-1.2 mg/kg (vitals maintained within 20% of baseline. Subjects may be re-dosed with rocuronium at 0.1-0.4 mg/kg during the procedure. Sugammadex: Reversal with Sugammadex (2mg/kg)
Swallowing Capacity
Not assessed
3 Participants
0 Participants
Swallowing Capacity
Passed
29 Participants
33 Participants
Swallowing Capacity
No Pass
4 Participants
2 Participants

OTHER_PRE_SPECIFIED outcome

Timeframe: 30 minutes post-extubation

Oxygen saturation post-extubation

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: 2 hours post-extubation

Post-extubation Oxygen requirements in subsequent 2 hours

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: 0 days after study drug to 100 days after study drug

Length of stay in the cardiac intensive care from onset of reversal drugs

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: 24 hours post-extubation

Reintubation incidence in the first 24 hours post-extubation

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: 0 hours after study drug to 24 hours after study drug

Postoperative respiratory complication including re-intubation

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: from 0 hours after study drug to 2 hours after study drug

Postoperative cardiac complications including myocardial infarction, arrythmias

Outcome measures

Outcome data not reported

Adverse Events

Neostigmine/Glycopyrrolate

Serious events: 2 serious events
Other events: 1 other events
Deaths: 0 deaths

Sugammadex

Serious events: 1 serious events
Other events: 1 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Neostigmine/Glycopyrrolate
n=36 participants at risk
Group 1: Intubation with rocuronium at 1.0-1.2 mg/kg (vitals maintained within 20% of baseline). Subjects may be re-dosed with rocuronium at 0.1-0.4 mg/kg during the procedure to maintain 1-2 twitches on TOF watch monitor reading recorded every 15 minutes. Group 1 (control) will receive reversal with neostigmine (0.04-0.07 mg/kg up to 5 mg maximal dosage) and glycopyrrolate (0.07-0.015mg/kg up to 1 mg maximal dosage). Rocuronium: Intubation with Rocuronium 1.0-1.2 mg/kg (vitals maintained within 20% of baseline. Subjects may be re-dosed with rocuronium at 0.1-0.4 mg/kg during the procedure. Neostigmine: Reversal with neostigmine (0.04-0.07 mg/kg up to 5 mg maximal dosage) Glycopyrrolate: Reversal glycopyrrolate (0.07-0.015mg/kg up to 1 mg maximal dosage)
Sugammadex
n=35 participants at risk
Group 2: Intubation with rocuronium at 1.0-1.2 mg/kg (vitals maintained within 20% of baseline). Subjects may be re-dosed with rocuronium at 0.1-0.4 mg/kg during the procedure to maintain 1-2 twitches on TOF watch monitor reading recorded every 15 minutes. Group 2 (treatment) will receive reversal with Sugammadex (2mg/kg). Rocuronium: Intubation with Rocuronium 1.0-1.2 mg/kg (vitals maintained within 20% of baseline. Subjects may be re-dosed with rocuronium at 0.1-0.4 mg/kg during the procedure. Sugammadex: Reversal with Sugammadex (2mg/kg)
Cardiac disorders
Myocardial Infarction
2.8%
1/36 • Number of events 1 • Adverse events were collected for a 24 hour period. The 24 hour period begins when surgery stop is designated in the electronic medical record.
Defined as any unfavorable and unintended medical occurrence, symptom, or disease temporally associated with the use of a medical treatment of the subjects whether it is associated or related to the medical treatment. The Principal Investigator will identify and make adverse events assessments. Adverse events and severe adverse events such as pneumonia, arrhythmia, and reintubation within 24 hours will be compared in both groups.
0.00%
0/35 • Adverse events were collected for a 24 hour period. The 24 hour period begins when surgery stop is designated in the electronic medical record.
Defined as any unfavorable and unintended medical occurrence, symptom, or disease temporally associated with the use of a medical treatment of the subjects whether it is associated or related to the medical treatment. The Principal Investigator will identify and make adverse events assessments. Adverse events and severe adverse events such as pneumonia, arrhythmia, and reintubation within 24 hours will be compared in both groups.
Vascular disorders
R ICA Stroke
2.8%
1/36 • Number of events 1 • Adverse events were collected for a 24 hour period. The 24 hour period begins when surgery stop is designated in the electronic medical record.
Defined as any unfavorable and unintended medical occurrence, symptom, or disease temporally associated with the use of a medical treatment of the subjects whether it is associated or related to the medical treatment. The Principal Investigator will identify and make adverse events assessments. Adverse events and severe adverse events such as pneumonia, arrhythmia, and reintubation within 24 hours will be compared in both groups.
0.00%
0/35 • Adverse events were collected for a 24 hour period. The 24 hour period begins when surgery stop is designated in the electronic medical record.
Defined as any unfavorable and unintended medical occurrence, symptom, or disease temporally associated with the use of a medical treatment of the subjects whether it is associated or related to the medical treatment. The Principal Investigator will identify and make adverse events assessments. Adverse events and severe adverse events such as pneumonia, arrhythmia, and reintubation within 24 hours will be compared in both groups.
Vascular disorders
R MCA Stroke
0.00%
0/36 • Adverse events were collected for a 24 hour period. The 24 hour period begins when surgery stop is designated in the electronic medical record.
Defined as any unfavorable and unintended medical occurrence, symptom, or disease temporally associated with the use of a medical treatment of the subjects whether it is associated or related to the medical treatment. The Principal Investigator will identify and make adverse events assessments. Adverse events and severe adverse events such as pneumonia, arrhythmia, and reintubation within 24 hours will be compared in both groups.
2.9%
1/35 • Number of events 1 • Adverse events were collected for a 24 hour period. The 24 hour period begins when surgery stop is designated in the electronic medical record.
Defined as any unfavorable and unintended medical occurrence, symptom, or disease temporally associated with the use of a medical treatment of the subjects whether it is associated or related to the medical treatment. The Principal Investigator will identify and make adverse events assessments. Adverse events and severe adverse events such as pneumonia, arrhythmia, and reintubation within 24 hours will be compared in both groups.

Other adverse events

Other adverse events
Measure
Neostigmine/Glycopyrrolate
n=36 participants at risk
Group 1: Intubation with rocuronium at 1.0-1.2 mg/kg (vitals maintained within 20% of baseline). Subjects may be re-dosed with rocuronium at 0.1-0.4 mg/kg during the procedure to maintain 1-2 twitches on TOF watch monitor reading recorded every 15 minutes. Group 1 (control) will receive reversal with neostigmine (0.04-0.07 mg/kg up to 5 mg maximal dosage) and glycopyrrolate (0.07-0.015mg/kg up to 1 mg maximal dosage). Rocuronium: Intubation with Rocuronium 1.0-1.2 mg/kg (vitals maintained within 20% of baseline. Subjects may be re-dosed with rocuronium at 0.1-0.4 mg/kg during the procedure. Neostigmine: Reversal with neostigmine (0.04-0.07 mg/kg up to 5 mg maximal dosage) Glycopyrrolate: Reversal glycopyrrolate (0.07-0.015mg/kg up to 1 mg maximal dosage)
Sugammadex
n=35 participants at risk
Group 2: Intubation with rocuronium at 1.0-1.2 mg/kg (vitals maintained within 20% of baseline). Subjects may be re-dosed with rocuronium at 0.1-0.4 mg/kg during the procedure to maintain 1-2 twitches on TOF watch monitor reading recorded every 15 minutes. Group 2 (treatment) will receive reversal with Sugammadex (2mg/kg). Rocuronium: Intubation with Rocuronium 1.0-1.2 mg/kg (vitals maintained within 20% of baseline. Subjects may be re-dosed with rocuronium at 0.1-0.4 mg/kg during the procedure. Sugammadex: Reversal with Sugammadex (2mg/kg)
Cardiac disorders
Atrial Fibrillation
0.00%
0/36 • Adverse events were collected for a 24 hour period. The 24 hour period begins when surgery stop is designated in the electronic medical record.
Defined as any unfavorable and unintended medical occurrence, symptom, or disease temporally associated with the use of a medical treatment of the subjects whether it is associated or related to the medical treatment. The Principal Investigator will identify and make adverse events assessments. Adverse events and severe adverse events such as pneumonia, arrhythmia, and reintubation within 24 hours will be compared in both groups.
2.9%
1/35 • Number of events 1 • Adverse events were collected for a 24 hour period. The 24 hour period begins when surgery stop is designated in the electronic medical record.
Defined as any unfavorable and unintended medical occurrence, symptom, or disease temporally associated with the use of a medical treatment of the subjects whether it is associated or related to the medical treatment. The Principal Investigator will identify and make adverse events assessments. Adverse events and severe adverse events such as pneumonia, arrhythmia, and reintubation within 24 hours will be compared in both groups.
Cardiac disorders
Incomplete Right Bundle Branch Block
2.8%
1/36 • Number of events 1 • Adverse events were collected for a 24 hour period. The 24 hour period begins when surgery stop is designated in the electronic medical record.
Defined as any unfavorable and unintended medical occurrence, symptom, or disease temporally associated with the use of a medical treatment of the subjects whether it is associated or related to the medical treatment. The Principal Investigator will identify and make adverse events assessments. Adverse events and severe adverse events such as pneumonia, arrhythmia, and reintubation within 24 hours will be compared in both groups.
0.00%
0/35 • Adverse events were collected for a 24 hour period. The 24 hour period begins when surgery stop is designated in the electronic medical record.
Defined as any unfavorable and unintended medical occurrence, symptom, or disease temporally associated with the use of a medical treatment of the subjects whether it is associated or related to the medical treatment. The Principal Investigator will identify and make adverse events assessments. Adverse events and severe adverse events such as pneumonia, arrhythmia, and reintubation within 24 hours will be compared in both groups.

Additional Information

Director of Research in Department of Anesthesiology

West Virginia University

Phone: 304-598-4122

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place