Evidence map›Paper›PMID 35501072›Full record

ArticleBMJ open2022

Effect of intraoperative muscle relaxation reversal on the success rate of motor-evoked potential recording in patients undergoing spinal surgery: study protocol for a randomised controlled trial.

Minyu Jian, Bo Ma, Haiyang Liu, Chengwei Wang, Fa Liang, Yang Zhou, Hui Qiao, Ruquan Han

Registry-linked trialOpen access · goldAbstract readClinical Trial Protocol
In one paragraph

Article in BMJ open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04608682 (Effect of Intraoperative Muscle Relaxation Reversal on the Success Rate of Motor Evoked Potential Recording), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.4field-weighted citation impact, top 39% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04608682 nacompletednot on this map

Effect of Intraoperative Muscle Relaxation Reversal on the Success Rate of Motor Evoked Potential Recording

TypeinterventionalSponsorBeijing Tiantan HospitalRan2021 to 2022Enrolled170ConditionsSugammadex, Motor Evoked PotentialsArmsSugammadex, Saline
3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. Trial
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 1 country.

Minyu Jian *Department of Anesthesiology, Beijing Tiantan Hospital, Beijing, China.
Bo Ma *Department of Anesthesiology, Beijing Tiantan Hospital, Beijing, China.
Haiyang LiuDepartment of Anesthesiology, Beijing Tiantan Hospital, Beijing, China.
Chengwei WangDepartment of Anesthesiology, Beijing Tiantan Hospital, Beijing, China.
Fa LiangDepartment of Anesthesiology, Beijing Tiantan Hospital, Beijing, China.
Yang ZhouDepartment of Anesthesiology, Beijing Tiantan Hospital, Beijing, China.
Hui QiaoDepartment of Electrophysiology, Beijing Neurosurgical Institute, Beijing, China.
Ruquan HanDepartment of Anesthesiology, Beijing Tiantan Hospital, Beijing, China ruquan.han@gmail.com.ORCID 0000-0003-4335-8670
Capital Medical University · CNBeijing Institute of Neurosurgery · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionTranscranial motor-evoked potentials (TceMEPs) is conventionally performed without neuromuscular blockade (NMB) because of its potential interference with neuromuscular junction and signal interpretation. Sugammadex is the first highly selective antagonist that binds to rocuronium and can rapidly and effectively reverse NMB. This study aims to evaluate the success rate of intraoperative muscle relax reversal by sugammadex on intraoperative TceMEP recording. METHODS AND ANALYSIS: We will conduct a single-centre randomised controlled study. In total, 162 patients undergoing thoracic or lumbar spinal surgery will be randomly divided into the sugammadex group or control group at a ratio of 1:1. Total intravenous anaesthesia by propofol and remifentanil will be performed in both groups. In the sugammadex group, patients will receive continuous infusion of rocuronium to produce a blockade maintained for at least two twitches in train-of-four, rocuronium infusion will be discontinued and 2 mg/kg sugammadex will be given while performing TceMEPs monitoring. In the control group, rocuronium infusion will be discontinued and the same volume of saline will be infused while performing TceMEPs monitoring. The primary aim of this study is to evaluate the success rate of TceMEPs recording between two groups. ETHICS AND DISSEMINATION: The approval for the study was certificated by the Ethical Committee of Beijing Tiantan Hospital, Capital Medical University on, 16 July 2021 (KY2021-082-02). The study was registered on clincaltrials.gov on 25 October 2020. Our study might guide neuromuscular blockade plans in TceMEPs monitoring undergoing spinal surgery. The findings of the study will be published in peer-reviewed journals and will be presented at national or international conference. TRIAL REGISTRATION NUMBER: NCT04608682.

Indexed as

Androstanolsgamma-CyclodextrinsEvoked PotentialsHumansMuscle RelaxationRandomized Controlled Trials as TopicRocuroniumSugammadexAndrostanolsgamma-CyclodextrinsRocuroniumSugammadexadult anaesthesianeurophysiologyneurosurgery

Identifiers

PMID35501072
PMCPMC9062813
OpenAlexW4225281597

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.