The Influence of Neuromuscular Reversal on Neurological Physical Exam Time in Lumbar Neurosurgical Cases.

Neurological physical exam is a very important outcome that should be evaluated as soon as possible after every lumbar procedures. The aim of this study was to evaluate the neurological physical examination time after lumbar procedures.

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Key information

Conditions

Neurological Complication

Age range

18 year–65 year

Sex eligibility

All sexes

Study type

Observational

Primary location

Ankara University Faculty of Medicine

Ankara, Turkey (Türkiye)

About this study

Neurological physical exam is a very important outcome that should be evaluated as soon as possible after every lumbar procedures. By that early postoperative neurological complications can be revealed and early interventions planned. The aim of this study was to evaluate the neurological physical examination time after lumbar procedures. Two routinely used different reversal agents (neostigmine or sugammadex) were compared according reversal times and muscle strength on PACU admission.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

Lumber surgery
ASA I-II
Elective surgery

Exclusion criteria

Emergency cases
Age lower than 18
Age higher than 65
Patient with existing neurological deficit
Patient with existing renal insufficiency

Treatment and study plan

Neurological physical exam

Diagnostic Test

Neurological physical exam is performed in all patients at the OR table, immediately after the operation.

Primary outcomes

Neurological physical examination time

Time frame: postoperative first 30 minutes

Neurological physical examination time

Secondary outcomes

Muscle strength at PACU transfer

Time frame: postoperative first 60 minutes

Muscle strength at PACU transfer (evaluated with a 5 point scale) 0/5: no contraction in muscles 1/5: muscle flicker but no movement 2/5: movement possible bıt not against gravity (test the joint in its horizontal plane) 3/5: moment possible against gravity but not against resistance by the examiner 4/5: movement possible against resistance by the examiner 5/5: normal strength

Sponsors and collaborators

Lead sponsor

Ankara University

Other

Registry information

Official study title

The Influence of Neuromuscular Reversal With Neostigmine or Sugammadex on Neurological Physical Exam Time in Lumbar Neurosurgical Cases.

Important dates

Study start: 2017
Primary completion: 2017
Study completion: 2017
First posted: Jan 17, 2018
Registry last updated: Jan 24, 2018

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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