A comparison of three induction regimens using succinylcholine, vecuronium, or no muscle relaxant: impact on the intraoperative monitoring of the lateral spread response in hemifacial spasm surgery: study protocol for a randomised controlled trial
<p>Abstract</p> <p>Background</p> <p>Surgical microvascular decompression (MVD) is the curative treatment for hemifacial spasm (HFS). Monitoring MVD by recording the lateral spread response (LSR) intraoperatively can predict a successful clinical outcome. However, the r...
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| Format: | Article |
| Language: | English |
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BMC
2012-09-01
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| Series: | Trials |
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| Online Access: | http://www.trialsjournal.com/content/13/1/160 |
| _version_ | 1818791965390536704 |
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| author | Fang Yuan Zhang Heng Liu Wenke Li Yu |
| author_facet | Fang Yuan Zhang Heng Liu Wenke Li Yu |
| author_sort | Fang Yuan |
| collection | DOAJ |
| description | <p>Abstract</p> <p>Background</p> <p>Surgical microvascular decompression (MVD) is the curative treatment for hemifacial spasm (HFS). Monitoring MVD by recording the lateral spread response (LSR) intraoperatively can predict a successful clinical outcome. However, the rate of the LSR varies between trials, and the reason for this variation is unclear. The aim of our trial is to evaluate the rate of the LSR after intubation following treatment with succinylcholine, vecuronium, or no muscle relaxant.</p> <p>Methods and design</p> <p>This trial is a prospective randomised controlled trial of 96 patients with HFS (ASA status I or II) undergoing MVD under general anaesthesia. Patients are randomised to receive succinylcholine, vecuronium, or no muscle relaxant before intubation. Intraoperative LSR will be recorded until dural opening. The primary outcome of this study is the rate of the LSR, and the secondary outcomes are post-intubation pharyngolaryngeal symptoms, the rate of difficult intubations, the rate of adverse haemodynamic events and the relationship between the measurement of LSR or not, and clinical success rates at 30 days after surgery.</p> <p>Discussion</p> <p>This study aims to evaluate the impact of muscle relaxants on the rate of the LSR, and the study may provide evidence supporting the use of muscle relaxants before intubation in patients with HFS undergoing MVD surgery.</p> <p>Trials registration</p> <p><url>http://www.chictr.org/</url> ChiCTR-TRC-11001504 Date of registration: 24 June, 2011.</p> <p>The date the first patient was randomised: 30 September, 2011.</p> |
| first_indexed | 2024-12-18T15:19:44Z |
| format | Article |
| id | doaj.art-c96d77b78f59486d86bdc6dabd96df86 |
| institution | Directory Open Access Journal |
| issn | 1745-6215 |
| language | English |
| last_indexed | 2024-12-18T15:19:44Z |
| publishDate | 2012-09-01 |
| publisher | BMC |
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| series | Trials |
| spelling | doaj.art-c96d77b78f59486d86bdc6dabd96df862022-12-21T21:03:26ZengBMCTrials1745-62152012-09-0113116010.1186/1745-6215-13-160A comparison of three induction regimens using succinylcholine, vecuronium, or no muscle relaxant: impact on the intraoperative monitoring of the lateral spread response in hemifacial spasm surgery: study protocol for a randomised controlled trialFang YuanZhang HengLiu WenkeLi Yu<p>Abstract</p> <p>Background</p> <p>Surgical microvascular decompression (MVD) is the curative treatment for hemifacial spasm (HFS). Monitoring MVD by recording the lateral spread response (LSR) intraoperatively can predict a successful clinical outcome. However, the rate of the LSR varies between trials, and the reason for this variation is unclear. The aim of our trial is to evaluate the rate of the LSR after intubation following treatment with succinylcholine, vecuronium, or no muscle relaxant.</p> <p>Methods and design</p> <p>This trial is a prospective randomised controlled trial of 96 patients with HFS (ASA status I or II) undergoing MVD under general anaesthesia. Patients are randomised to receive succinylcholine, vecuronium, or no muscle relaxant before intubation. Intraoperative LSR will be recorded until dural opening. The primary outcome of this study is the rate of the LSR, and the secondary outcomes are post-intubation pharyngolaryngeal symptoms, the rate of difficult intubations, the rate of adverse haemodynamic events and the relationship between the measurement of LSR or not, and clinical success rates at 30 days after surgery.</p> <p>Discussion</p> <p>This study aims to evaluate the impact of muscle relaxants on the rate of the LSR, and the study may provide evidence supporting the use of muscle relaxants before intubation in patients with HFS undergoing MVD surgery.</p> <p>Trials registration</p> <p><url>http://www.chictr.org/</url> ChiCTR-TRC-11001504 Date of registration: 24 June, 2011.</p> <p>The date the first patient was randomised: 30 September, 2011.</p>http://www.trialsjournal.com/content/13/1/160Hemifacial spasmMicrovascular decompressionMuscle relaxantSuccinylcholineVecuroniumIntraoperative monitoringLateral spread response |
| spellingShingle | Fang Yuan Zhang Heng Liu Wenke Li Yu A comparison of three induction regimens using succinylcholine, vecuronium, or no muscle relaxant: impact on the intraoperative monitoring of the lateral spread response in hemifacial spasm surgery: study protocol for a randomised controlled trial Trials Hemifacial spasm Microvascular decompression Muscle relaxant Succinylcholine Vecuronium Intraoperative monitoring Lateral spread response |
| title | A comparison of three induction regimens using succinylcholine, vecuronium, or no muscle relaxant: impact on the intraoperative monitoring of the lateral spread response in hemifacial spasm surgery: study protocol for a randomised controlled trial |
| title_full | A comparison of three induction regimens using succinylcholine, vecuronium, or no muscle relaxant: impact on the intraoperative monitoring of the lateral spread response in hemifacial spasm surgery: study protocol for a randomised controlled trial |
| title_fullStr | A comparison of three induction regimens using succinylcholine, vecuronium, or no muscle relaxant: impact on the intraoperative monitoring of the lateral spread response in hemifacial spasm surgery: study protocol for a randomised controlled trial |
| title_full_unstemmed | A comparison of three induction regimens using succinylcholine, vecuronium, or no muscle relaxant: impact on the intraoperative monitoring of the lateral spread response in hemifacial spasm surgery: study protocol for a randomised controlled trial |
| title_short | A comparison of three induction regimens using succinylcholine, vecuronium, or no muscle relaxant: impact on the intraoperative monitoring of the lateral spread response in hemifacial spasm surgery: study protocol for a randomised controlled trial |
| title_sort | comparison of three induction regimens using succinylcholine vecuronium or no muscle relaxant impact on the intraoperative monitoring of the lateral spread response in hemifacial spasm surgery study protocol for a randomised controlled trial |
| topic | Hemifacial spasm Microvascular decompression Muscle relaxant Succinylcholine Vecuronium Intraoperative monitoring Lateral spread response |
| url | http://www.trialsjournal.com/content/13/1/160 |
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