A Study to Determine if Sugammadex and Quantitative Monitoring Postoperatively Will Reduce Residual Weakness

Overview

About this study

The purpose of this study is to determine the incidence of postoperative residual weakness (a train-of-four ratio < 0.9) in patients getting ‘fast track anesthesia’ following liver transplantation.  Our clinical practice routinely utilizes sugammadex in this patient population and we have anecdotally observed excellent outcomes. We hypothesize that the incidence of postoperative residual weakness with sugammadex and quantitative monitoring is low (<5%) and that patients receiving fast track anesthesia have shorter hospital length of stays than the national average (12).  Additionally, postoperative pulmonary complications (PPC) can occur from residual weakness.  We will utilize previous definitions of PPCs  (13).  Specifically, postoperative pneumonia within 30 days or respiratory failure that requires unplanned non-invasive mechanical ventilation (such as bilevel positive airway pressure ventilation) or need for reintubation due to respiratory distress will be documented.

Participation eligibility

Participant eligibility includes age, gender, type and stage of disease, and previous treatments or health concerns. Guidelines differ from study to study, and identify who can or cannot participate. There is no guarantee that every individual who qualifies and wants to participate in a trial will be enrolled. Contact the study team to discuss study eligibility and potential participation.

Inclusion Criteria:

  • Age ≥ 18 years old.
  • Patients willing to participate and provide an informed consent.
  • Patients undergoing primary liver transplantation.

Exclusion Criteria:

  • Patients with unilateral disorders, such as stroke, carpal tunnel syndrome, broken wrist with nerve damage, Dupuytren contracture, or any similar wrist injury.
  • Patients with systemic neuromuscular diseases such as myasthenia gravis.
  • Patients with a known history of cerebrovascular accident (CVA).
  • Patients undergoing repeat liver transplantation or concomitant pancreas/kidney transplantation at the time of liver transplantation.
  • Patients admitted to the intensive care unit prior to liver transplantation. 

Eligibility last updated 11/10/21. Questions regarding updates should be directed to the study team contact.

Participating Mayo Clinic locations

Study statuses change often. Please contact the study team for the most up-to-date information regarding possible participation.

Mayo Clinic Location Status Contact

Jacksonville, Fla.

Mayo Clinic principal investigator

Johnathan Renew, M.D.

Closed-enrolling by invitation

What is this? (?)
"Close"
Not open to everyone who meets the eligibility criteria, but only those invited to participate by the study team.

Contact information:

Johnathan Renew M.D.

(904) 956-3328

Renew.J@mayo.edu

More information

Publications

Publications are currently not available
.
CLS-20526692

Mayo Clinic Footer