The SNaPP Pilot Study
ACTRN12620001313921
Prevention
Phase 4
Charities/Societies/Foundations,Australian and New Zealand College of Anaesthetists
Prof Kate Leslie
During general anaesthesia muscle relaxant drugs are administered to make airway management and surgery easier. Muscle relaxants are usually reversed with neostigmine at the end of the operation. A newer drug, sugammadex, reverses muscle relaxants more rapidly than neostigmine, but is not clear whether sugammadex results in fewer postoperative complications than neostigmine. We are planning a large multi-centre randomised controlled trial to investigate whether sugammadex is associated with fewe .... Read more
a) Plan for elective or expedited intraabdominal, retroperitoneal, pelvic and non-cardiac intrathoracic surgery b) Plan for relaxant general anaesthesia with an endotracheal tube c) Surgery expected to last greater than or equal to 2 hours d) Expected hospital stay of greater than or equal to 1 postoperative night
a) Unable to provide written informed consent (e.g. language barrier, intellectual disability, cognitive deficit, urgent surgery) b) Plan for skin incision and/or vascular access at or below the inguinal ligament without an abdominal or thoracic skin incision c) Plan for intraoperative administration of neuromuscular blocking drug other than rocuronium and vecuronium d) Plan to reverse neuromuscular blockade during surgery e) Plan to allow spontaneous complete recovery from neuromuscular blockad .... Read more
No
Sample Size 120
Min. age 40 Years
Max. age No limit
Sex Both males and females
Condition category Acute respiratory distress syndrome , Pneumonia , Pulmonary aspiration , Pulmonary atelectasis , Respiratory
Condition code Anaesthesiology , Respiratory , Surgery
Intervention code Prevention
Sugammadex as a single intravenous dose at the end of surgery with dose personalised by quantitative neuromuscular monitoring. Quantitative neuromuscular monitoring is recommended by the Australian and New Zealand College of Anaesthetists. It is applied at induction of anaesthesia and is removed after reversal of neuromuscular blockade at the end of surgery. Quantitative neuromuscular monitoring results will be recorded in the case report form. Administration of neostigmine instead of sugammadex .... Read more
Control group Active
Neostigmine as a single intravenous dose at the end of surgery with dose personalised by quantitative neuromuscular monitoring. Quantitative neuromuscular monitoring is recommended by the Australian and New Zealand College of Anaesthetists. It is applied at induction of anaesthesia and is removed after reversal of neuromuscular blockade at the end of surgery. Quantitative neuromuscular monitoring results will be recorded in the case report form. Administration of sugammadex instead of neostigmin .... Read more
Outcome: Rate of recruitment of eligible patients who were approached for consent to participate, as recorded in screening logTimepoint: At the time of attempted recruitment between booking for surgery and arrival in the operating room
yes
All data except for identifying variables
One year after the publication of the main study results with no end date
Access will be decided on a case-by-case basis by the trial steering committee.
For IPD meta-analyses