Deep Neuromuscular Blockade in Strabismus Surgery
The Effect of the Deep Neuromuscular Block on the Refraction and the Oculocardiac Reflex During Strabismus Surgery in Pediatric Patients - a Prospective Randomized Controlled Trial
Seoul National University Hospital
204 participants
Aug 28, 2024
INTERVENTIONAL
Conditions
Summary
The purpose of this study is to determine if inducing a moderate or greater neuromuscular block (TOF count 0-3) when performing a neuromuscular block in pediatric patients aged 3 to 18 years undergoing strabismus surgery under general anesthesia can reduce the incidence of the oculocardiac reflex.
Eligibility
Inclusion Criteria1
- Pediatric patients between the ages of 3 and 18 who are American Society of Anesthesiologists physical classification (ASA) I, II, or III scheduled for strabismus surgery under general anesthesia.
Exclusion Criteria4
- Patients with underlying cardiovascular disease
- Patients with preoperative electrocardiograms showing conduction disturbances
- Patients with neuromuscular disease
- Any other patient who, in the opinion of the investigator, is not a good candidate for the study.
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Interventions
* Maintaining moderate to deep neuromuscular blockade during an intraoperative period (Train-of-four 0-3 count, post-tetanic count \> 1) * Rocuronium (intravenous, 1.0 mg/kg at induction period)
* Maintaining shallow to minimal neuromuscular blockade during an intraoperative period (Train-of-four 4, post-tetanic count \< 0.9) * Rocuronium (intravenous, 0.3 mg/kg at induction period)
Locations(1)
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NCT05882643