In this study, the antagonism of neostigmine, a cholinesterase inhibitor, on continuous infusion of mivacurium during foot and ankle surgery under general anesthesia was investigated, and the appropriate time point of antagonism was explored.
Mivacurium is currently the shortest-acting benzylisoquinoline nondepolarizing muscular relaxant in clinical practice, which is suitable for short surgery. Its continuous infusion can also be used in medium-term surgery with uncertain operation time, which can accelerate the recovery of postoperative muscle relaxation. Whether continuous infusion of mivacurium requires antagonism and the appropriate time point of antagonism is controversial.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
DOUBLE
Enrollment
120
Administer neostigmine at a dose of 0.04 mg/kg (combined with 0.02 mg/kg atropine)
Beijing tongren Hospital, Capital Medical University
Beijing, Beijing Municipality, China
The time from count 2 to TOFr recovery to 0.9
Time frame: Perioperative
The time from count 2 to TOFr recovery to 0.7
Time frame: Perioperative
The time from count 2 to TOFr recovery to 0.4
Time frame: Perioperative
Mean Arterial Pressure
Time frame: Perioperative
Blood pressure
Time frame: Perioperative
Heart rate
Time frame: Perioperative
Surgical duration
Time frame: The start time and end time of the surgery
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.