Deep Neuromuscular Blockade on Postoperative Pain

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age2-7
SponsorSeoul National University Hospital

About this trial

This study aims to investigate the impact of varying degrees of neuromuscular blockade on postoperative pain in pediatric patients aged over 2 months to under 7 years undergoing laparoscopic surgery under general anesthesia.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Pediatric patients aged over 2 months to under 7 years scheduled for laparoscopic surgery under general anesthesia.

American Society of Anesthesiologists (ASA) Physical Status Classification I, II, or III.

Disqualifiers

Patients undergoing emergency surgery.

Patients with chronic pain or currently taking analgesics for chronic pain.

Known hypersensitivity to general anesthetic agents or analgesics.

Patients with underlying cardiovascular disease.

Trial design

Design model

Parallel

Treatments tested in this trial

  • rocuronium 0.2 mg/kg/hr continuous infusion

    Drug

    To maintain Train-of-four count 1 to 3 during surgery: Administration of continuous infusion of rocuronium at a rate of 0.2 mg/kg/hr to achieve and sustain moderate neuromuscular blockade.

  • rocuronium 0.6 mg/kg/hr continuous infusion

    Drug

    To maintain Train-of-four count 0 during surgery: Administration of continuous infusion of rocuronium at a rate of 0.6 mg/kg/hr to achieve and sustain deep neuromuscular blockade.

Treatment groups

106 Participants
are divided into 2 treatment groups
Group A: moderate neuromuscular blockadeActive comparator 1 intervention
Group B: deep neuromuscular blockadeExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

ANIm (Analgesia Nociception Index) Value

Time frame
30 minutes after arrival in the recovery room

Secondary outcomes

1

FLACC Pain Scale

Time frame
30 minutes after arrival in the recovery room
2

Pediatric Anesthesia Emergence Delirium Scale

Time frame
30 minutes after arrival in the recovery room
3

Time to Extubation

Time frame
From end of surgery to extubation (in minutes, assessed up to 1 hour)
4

Recovery Room Length of Stay

Time frame
Duration of stay in the recovery room (in minutes, assessed up to 2 hours)

Other outcomes

Sponsors and contacts

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