Surgical Conditions During Vocal Cord Surgery Requiring Jet Ventilation With Moderate vs. Deep Neuromuscular Block

  • STATUS
    Recruiting
  • days left to enroll
    30
  • participants needed
    30
  • sponsor
    Thomas Schricker
Updated on 27 April 2022

Summary

The purpose of this study is to determine whether deep neuromuscular blockade provides better surgical conditions than moderate neuromuscular blockade in patients undergoing vocal cord resections requiring jet ventilation.

Description

To optimize anatomical exposure and to minimize direct manipulation of local lesions endotracheal intubation often is avoided in patients undergoing vocal cord surgery.

Instead intermittent so called jet ventilation is carried out by using the Hunsaker Mon-jet tube. The safe conduct of these procedures requires full muscle paralysis. In clinical practice, however, deep neuromuscular blockade (NMB) usually cannot be established for this relatively short surgery (<1h) because of an increased risk of prolonged NMB and postoperative ventilation.

The novel neuromuscular blockade reversal agent sugammadex may prove particularly useful in this patient population because it allows fast and reliable reversal of even deep NMB. Deeper muscle paralysis during vocal cord surgery may be associated with better surgical conditions.

The purpose of this study is to determine whether deep neuromuscular blockade provides better surgical conditions than moderate neuromuscular blockade in patients undergoing vocal cord resections requiring jet ventilation.

Details
Condition High-Frequency Jet Ventilation, Vocal Cord Resection
Treatment Rocuronium bromide 0.5 mg/kg, Rocuronium bromide 1.0 mg/kg, Sugammadex sodium 2 mg/kg, Sugammadex sodium 4 mg/kg
Clinical Study IdentifierNCT02888067
SponsorThomas Schricker
Last Modified on27 April 2022

Eligibility

Yes No Not Sure

Inclusion Criteria

Elective vocal cord resection with an expected length of the procedure longer than 20 minutes and requiring jet ventilation

Exclusion Criteria

Patients younger than 18 years old
Patients unable to give written informed consent
Patients with known or suspected neuromuscular disease
Patients with allergies to medications to be used during anesthesia
Patients with a (family) history of malignant hyperthermia
Patients with renal insufficiency (serum creatinine >2 times normal or a glomerular filtration rate <60 ml/h)
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