neostigmine has been researched along with Muscle Weakness in 27 studies
Neostigmine: A cholinesterase inhibitor used in the treatment of myasthenia gravis and to reverse the effects of muscle relaxants such as gallamine and tubocurarine. Neostigmine, unlike PHYSOSTIGMINE, does not cross the blood-brain barrier.
neostigmine : A quaternary ammonium ion comprising an anilinium ion core having three methyl substituents on the aniline nitrogen, and a 3-[(dimethylcarbamoyl)oxy] substituent at position 3. It is a parasympathomimetic which acts as a reversible acetylcholinesterase inhibitor.
Muscle Weakness: A vague complaint of debility, fatigue, or exhaustion attributable to weakness of various muscles. The weakness can be characterized as subacute or chronic, often progressive, and is a manifestation of many muscle and neuromuscular diseases. (From Wyngaarden et al., Cecil Textbook of Medicine, 19th ed, p2251)
Excerpt | Relevance | Reference |
---|---|---|
" The aim of this clinical investigation was to assess the incidence of postoperative residual neuromuscular blockade in adult thoracic surgical patients administered neostigmine or sugammadex when optimal dosing and reversal strategies for these agents were used." | 5.41 | Neuromuscular and Clinical Recovery in Thoracic Surgical Patients Reversed With Neostigmine or Sugammadex. ( Avram, MJ; Benson, J; Bilimoria, S; Greenberg, SB; Maher, CE; Murphy, GS; Szokol, JW; Teister, KJ, 2021) |
" Neostigmine was used to antagonize rocuronium-induced neuromuscular blockade in the first phase, and sugammadex was used in the second phase." | 3.79 | Reversal with sugammadex in the absence of monitoring did not preclude residual neuromuscular block. ( Kotake, Y; Nakatsuka, I; Ochiai, R; Ogawa, S; Ozaki, M; Suzuki, T; Takagi, S; Takeda, J, 2013) |
"Neostigmine was administered in adjusted doses after a train-of-four count of four was confirmed at the thumb." | 1.48 | Management of rocuronium neuromuscular block using a protocol for qualitative monitoring and reversal with neostigmine. ( Bhananker, SM; Cain, KC; Ng, IC; Thilen, SR; Treggiari, MM, 2018) |
" Low dosage must be employed and repeated administration avoided." | 1.31 | Is vecuronium toxicity abolished by hemodialysis? A case report. ( Borsa, S; Pignataro, A; Pozzato, M; Quarello, F; Rollino, C; Vallero, A; Visetti, E, 2000) |
Timeframe | Studies, this research(%) | All Research% |
---|---|---|
pre-1990 | 12 (44.44) | 18.7374 |
1990's | 1 (3.70) | 18.2507 |
2000's | 3 (11.11) | 29.6817 |
2010's | 10 (37.04) | 24.3611 |
2020's | 1 (3.70) | 2.80 |
Authors | Studies |
---|---|
Murphy, GS | 2 |
Avram, MJ | 2 |
Greenberg, SB | 1 |
Bilimoria, S | 1 |
Benson, J | 1 |
Maher, CE | 1 |
Teister, KJ | 1 |
Szokol, JW | 2 |
Phillips, S | 2 |
Stewart, PA | 2 |
Thilen, SR | 1 |
Ng, IC | 1 |
Cain, KC | 1 |
Treggiari, MM | 1 |
Bhananker, SM | 1 |
Naguib, M | 2 |
Kopman, AF | 2 |
Kent, NB | 1 |
Liang, SS | 1 |
Smith, NA | 1 |
Khandkar, C | 1 |
Eikermann, M | 1 |
Kotake, Y | 2 |
Ochiai, R | 1 |
Suzuki, T | 2 |
Ogawa, S | 1 |
Takagi, S | 1 |
Ozaki, M | 2 |
Nakatsuka, I | 1 |
Takeda, J | 2 |
Brull, SJ | 1 |
Arkes, HR | 1 |
de Boer, HD | 1 |
Booij, LH | 1 |
Gupta, D | 1 |
BAUER, H | 1 |
SCHMID, O | 1 |
ROWLAND, LP | 1 |
KORENGOLD, MC | 1 |
JAFFE, IA | 1 |
BERG, L | 1 |
SHY, GM | 1 |
BARDIER, A | 1 |
MOULEDOUS, G | 1 |
REGNIER, C | 1 |
MARTINEZ, J | 1 |
PUJOL, M | 1 |
POLAK, W | 1 |
LAPRESLE, J | 1 |
BOUDIN, G | 1 |
GOULON, M | 1 |
HAMBURGER, J | 1 |
LHERMITTE, F | 1 |
PEQUIGNOT, H | 1 |
ADLER, E | 1 |
ERBSLOEH, F | 1 |
LALLEMAND, H | 1 |
THEVENARD, A | 1 |
Zank, LM | 1 |
Ng, J | 1 |
Neuman, GG | 1 |
SPATH, F | 1 |
BAYULKEM, F | 1 |
UNLUTURK, C | 1 |
OZBEK, A | 1 |
AVCILAR, HR | 1 |
RIDER, JA | 1 |
McDONALD, R | 1 |
Alkhazrajy, W | 1 |
Khorasanee, AD | 1 |
Russell, WJ | 1 |
Tramèr, MR | 1 |
Fuchs-Buder, T | 1 |
Rollino, C | 1 |
Visetti, E | 1 |
Borsa, S | 1 |
Pignataro, A | 1 |
Pozzato, M | 1 |
Vallero, A | 1 |
Quarello, F | 1 |
Trial | Phase | Enrollment | Study Type | Start Date | Status | ||
---|---|---|---|---|---|---|---|
Reversal of Neuromuscular Blockade in Thoracic Surgical Patients[NCT01837498] | 200 participants (Actual) | Observational | 2014-02-28 | Completed | |||
Incidence and Severity of Residual Neuromuscular Blockade With Application of a Protocol for Paralysis and Neostigmine Reversal of Rocuronium[NCT02660398] | Phase 4 | 78 participants (Actual) | Interventional | 2016-01-31 | Completed | ||
Validation of the REPS Prediction Tool to Improve Quality of Perioperative Care[NCT03585400] | 101,510 participants (Actual) | Observational | 2018-06-29 | Completed | |||
Importance of Understanding Provider Variability in the Use of Neuromuscular Blocking Drugs and Reversal Agents[NCT03585348] | 265,537 participants (Actual) | Observational | 2018-06-29 | Completed | |||
Development of an Algorithm Using Clinical Tests to Avoid Post-operative Residual Neuromuscular Block[NCT03219138] | 265 participants (Actual) | Interventional | 2008-01-08 | Completed | |||
Optimal Dose of Combination of Rocuronium and Cisatracurium: A Randomized Double-blinded Clinical Trial[NCT02495038] | 81 participants (Actual) | Interventional | 2014-03-31 | Completed | |||
A Randomized, Blinded-assessor, Single Center Study to Determine if Administration of Sugammadex, When Used to Reverse Deep Neuromuscular Blockade (NMB) After Open Abdominal Surgery, Impacts Hospital Efficiency[NCT02860507] | Phase 4 | 50 participants (Actual) | Interventional | 2016-08-31 | Completed | ||
A Prospective Evaluation of an Anesthesia Protocol to Reduce Post-operative and Post-discharge Nausea and Vomiting in a High Risk Orthognathic Surgery Population[NCT01592708] | 233 participants (Actual) | Interventional | 2012-06-30 | Completed | |||
[information is prepared from clinicaltrials.gov, extracted Sep-2024] |
Additional Rescue Doses Per Hour Ratio is the number per hour of addition of rescue dose administrated with 10% of initial NMBAs dose. The formula is {(Addition number + 1 / Anesthetic time) x 60}. (NCT02495038)
Timeframe: Intraoperative, an average of 3 hours.
Intervention | ratio (Mean) |
---|---|
Intubating Dose, Group I | 1.43455 |
10% Reduction of Combination of Esmeron® and Nimbex®, Group S | 1.21014 |
20% Reduction of Combination of Esmeron® and Nimbex®, Group L | 0.82128 |
Time from induction to recovery of anesthesia, asessed up to 3 hours. (NCT02495038)
Timeframe: Intraoperative, an average 4 hours.
Intervention | Minute (Mean) |
---|---|
Intubating Dose, Group I | 163.0 |
10% Reduction of Combination of Esmeron® and Nimbex®, Group S | 159.9 |
20% Reduction of Combination of Esmeron® and Nimbex®, Group L | 161.4 |
"The BIS monitor provides a single dimensionless number, which ranges from 0 (equivalent to EEG silence) to 100. A BIS value between 40 and 60 indicates an appropriate level for general anesthesia, as recommended by the manufacturer.~Before induction of anesthesia, bispectral index was measured for baseline. And after injection of NMBAs, bispectral index was measured at 10 min." (NCT02495038)
Timeframe: Before and after induction of anesthesia, an average 10 min.
Intervention | BIS score (Mean) |
---|---|
Intubating Dose, Group I | 46.0 |
10% Reduction of Combination of Esmeron® and Nimbex®, Group S | 46.1 |
20% Reduction of Combination of Esmeron® and Nimbex®, Group L | 44.3 |
"Before induction of anesthesia, body temperature was measured for baseline by oral temperature probe.~And after injection of NMBAs, non invasive blood pressure was measured at 10 min by esophageal temperature probe." (NCT02495038)
Timeframe: Before and after induction of anesthesia, an average 10 min.
Intervention | Celcius degree (Mean) |
---|---|
Intubating Dose, Group I | 36.3 |
10% Reduction of Combination of Esmeron® and Nimbex®, Group S | 36.3 |
20% Reduction of Combination of Esmeron® and Nimbex®, Group L | 36.3 |
Time from administration of initial NMBAs to Train-of-four (TOF) ratio >25%, assessed up to 2 hours during general anesthesia. (NCT02495038)
Timeframe: Intraoperative, an average of 1 hours
Intervention | Minute (Mean) |
---|---|
Intubating Dose, Group I | 51.3 |
10% Reduction of Combination of Esmeron® and Nimbex®, Group S | 47.9 |
20% Reduction of Combination of Esmeron® and Nimbex®, Group L | 39.4 |
Time from administration of initial NMBAs to Train-of-four (TOF) ratio=0, assessed up to 15 minutes during general anesthesia. (NCT02495038)
Timeframe: Intraoperative, an average of 5 minutes
Intervention | Second (Mean) |
---|---|
Intubating Dose, Group I | 212.8 |
10% Reduction of Combination of Esmeron® and Nimbex®, Group S | 230.1 |
20% Reduction of Combination of Esmeron® and Nimbex®, Group L | 399.3 |
Time from skin incision to wound dressing assessed up to 8 hours. (NCT02495038)
Timeframe: Intraoperative, an average of 3 hours.
Intervention | Minute (Mean) |
---|---|
Intubating Dose, Group I | 151.8 |
10% Reduction of Combination of Esmeron® and Nimbex®, Group S | 147.0 |
20% Reduction of Combination of Esmeron® and Nimbex®, Group L | 145.9 |
"Before induction of anesthesia, peripheral oxygen saturation was measured for baseline.~And after injection of NMBAs, peripheral oxygen saturation was measured at 10 min." (NCT02495038)
Timeframe: Before and after induction of anesthesia, an average 10 min.
Intervention | Percentage (Mean) |
---|---|
Intubating Dose, Group I | 100 |
10% Reduction of Combination of Esmeron® and Nimbex®, Group S | 99.9 |
20% Reduction of Combination of Esmeron® and Nimbex®, Group L | 100 |
Time from TOF ratio 25% to 75%, assessed up to 1 hour during general anesthesia. (NCT02495038)
Timeframe: Intraoperative, an average of 20 minutes
Intervention | Minute (Mean) |
---|---|
Intubating Dose, Group I | 15.9 |
10% Reduction of Combination of Esmeron® and Nimbex®, Group S | 16.2 |
20% Reduction of Combination of Esmeron® and Nimbex®, Group L | 14.1 |
"Before induction of anesthesia, non invasive blood pressure was measured for baseline.~And after injection of NMBAs, non invasive blood pressure was measured at 10 min." (NCT02495038)
Timeframe: Before and after induction of anesthesia, an average 10 min.
Intervention | mmHg (Mean) | |
---|---|---|
Systolic pressure | Diastolic pressure | |
10% Reduction of Combination of Esmeron® and Nimbex®, Group S | 128.3 | 76.7 |
20% Reduction of Combination of Esmeron® and Nimbex®, Group L | 128.4 | 74.8 |
Intubating Dose, Group I | 128.3 | 75.6 |
(NCT02860507)
Timeframe: through discharge from hospital, average of 72 hours
Intervention | Participants (Count of Participants) |
---|---|
Neostigmine + Glycopyrrolate | 8 |
Sugammadex | 10 |
(NCT02860507)
Timeframe: through start of next surgery, average of 2 hours
Intervention | Minutes (Mean) |
---|---|
Neostigmine + Glycopyrrolate | 49.7 |
Sugammadex | 49.45 |
Anesthesia start time determined from anesthesia portion of the medical record. Time at which discharge order was placed will serve as time of discharge. (NCT01592708)
Timeframe: Anesthesia start time to placement of hospital discharge order - average 26 - 28 hours
Intervention | hours (Median) |
---|---|
Intervention Cohort | 26.4 |
Comparison Cohort | 28.2 |
To be assessed based on patient diary completed daily for 1 week following discharge to home from the hospital (NCT01592708)
Timeframe: 1 week from discharge from hospital
Intervention | percentage of subjects with PDN (Number) |
---|---|
Intervention Cohort | 72 |
Comparison Cohort | 60 |
(NCT01592708)
Timeframe: 1 week post discharge
Intervention | percentage of subjects with PDV (Number) |
---|---|
Intervention Cohort | 22 |
Comparison Cohort | 29 |
End of surgery time determined by anesthesia portion of the medical record. PONV to be assessed by review of surgeons' and nurses' notes in the medical record as well as through review of patient diaries. Vomiting constitutes a safety issue and, as such, associated adverse events will be noted. (NCT01592708)
Timeframe: End of surgery to discharge from hospital
Intervention | percentage of subjects with PON (Number) |
---|---|
Intervention Cohort | 24 |
Comparison Cohort | 70 |
(NCT01592708)
Timeframe: End of surgery to discharge from hospital
Intervention | percentage of subjects with POV (Number) |
---|---|
Intervention Cohort | 11 |
Comparison Cohort | 28 |
1 review available for neostigmine and Muscle Weakness
Article | Year |
---|---|
Omitting antagonism of neuromuscular block: effect on postoperative nausea and vomiting and risk of residual paralysis. A systematic review.
Topics: Cholinesterase Inhibitors; Humans; Muscle Weakness; Neostigmine; Neuromuscular Blocking Agents; Post | 1999 |
Omitting antagonism of neuromuscular block: effect on postoperative nausea and vomiting and risk of residual paralysis. A systematic review.
Topics: Cholinesterase Inhibitors; Humans; Muscle Weakness; Neostigmine; Neuromuscular Blocking Agents; Post | 1999 |
Omitting antagonism of neuromuscular block: effect on postoperative nausea and vomiting and risk of residual paralysis. A systematic review.
Topics: Cholinesterase Inhibitors; Humans; Muscle Weakness; Neostigmine; Neuromuscular Blocking Agents; Post | 1999 |
Omitting antagonism of neuromuscular block: effect on postoperative nausea and vomiting and risk of residual paralysis. A systematic review.
Topics: Cholinesterase Inhibitors; Humans; Muscle Weakness; Neostigmine; Neuromuscular Blocking Agents; Post | 1999 |
3 trials available for neostigmine and Muscle Weakness
Article | Year |
---|---|
Neuromuscular and Clinical Recovery in Thoracic Surgical Patients Reversed With Neostigmine or Sugammadex.
Topics: Aged; Aged, 80 and over; Anesthesia Recovery Period; Delayed Emergence from Anesthesia; Female; Huma | 2021 |
Therapeutic doses of neostigmine, depolarising neuromuscular blockade and muscle weakness in awake volunteers: a double-blind, placebo-controlled, randomised volunteer study.
Topics: Adult; Cholinesterase Inhibitors; Dose-Response Relationship, Drug; Double-Blind Method; Drug Admini | 2018 |
Antagonism of cisatracurium and rocuronium block at a tactile train-of-four count of 2: should quantitative assessment of neuromuscular function be mandatory?
Topics: Adolescent; Adult; Aged; Androstanols; Anesthesia Recovery Period; Atracurium; Cholinesterase Inhibi | 2004 |
23 other studies available for neostigmine and Muscle Weakness
Article | Year |
---|---|
Catching a Unicorn: Neostigmine and Muscle Weakness-Not Neostigmine for All, but Quantitative Monitoring for Everyone!
Topics: Conditioning, Psychological; Humans; Muscle Weakness; Neostigmine | 2018 |
In Reply.
Topics: Humans; Muscle Weakness; Neostigmine | 2018 |
Management of rocuronium neuromuscular block using a protocol for qualitative monitoring and reversal with neostigmine.
Topics: Adult; Aged; Airway Extubation; Clinical Protocols; Cohort Studies; Female; Humans; Incidence; Male; | 2018 |
Neostigmine-induced weakness: what are the facts?
Topics: Double-Blind Method; Humans; Muscle Weakness; Neostigmine; Neuromuscular Blockade; Neuromuscular Non | 2018 |
Reversal with sugammadex in the absence of monitoring did not preclude residual neuromuscular block.
Topics: Adult; Aged; Airway Extubation; Androstanols; Anesthesia Recovery Period; Chi-Square Distribution; C | 2013 |
Reversal with sugammadex in the absence of monitoring did not preclude residual neuromuscular block.
Topics: Adult; Aged; Airway Extubation; Androstanols; Anesthesia Recovery Period; Chi-Square Distribution; C | 2013 |
Reversal with sugammadex in the absence of monitoring did not preclude residual neuromuscular block.
Topics: Adult; Aged; Airway Extubation; Androstanols; Anesthesia Recovery Period; Chi-Square Distribution; C | 2013 |
Reversal with sugammadex in the absence of monitoring did not preclude residual neuromuscular block.
Topics: Adult; Aged; Airway Extubation; Androstanols; Anesthesia Recovery Period; Chi-Square Distribution; C | 2013 |
Reversal with sugammadex in the absence of monitoring did not preclude residual neuromuscular block.
Topics: Adult; Aged; Airway Extubation; Androstanols; Anesthesia Recovery Period; Chi-Square Distribution; C | 2013 |
Reversal with sugammadex in the absence of monitoring did not preclude residual neuromuscular block.
Topics: Adult; Aged; Airway Extubation; Androstanols; Anesthesia Recovery Period; Chi-Square Distribution; C | 2013 |
Reversal with sugammadex in the absence of monitoring did not preclude residual neuromuscular block.
Topics: Adult; Aged; Airway Extubation; Androstanols; Anesthesia Recovery Period; Chi-Square Distribution; C | 2013 |
Reversal with sugammadex in the absence of monitoring did not preclude residual neuromuscular block.
Topics: Adult; Aged; Airway Extubation; Androstanols; Anesthesia Recovery Period; Chi-Square Distribution; C | 2013 |
Reversal with sugammadex in the absence of monitoring did not preclude residual neuromuscular block.
Topics: Adult; Aged; Airway Extubation; Androstanols; Anesthesia Recovery Period; Chi-Square Distribution; C | 2013 |
Reasoning of an anomaly: residual block after sugammadex.
Topics: Androstanols; Cholinesterase Inhibitors; Female; gamma-Cyclodextrins; Humans; Male; Muscle Weakness; | 2013 |
Why are we using pulse oximetry but not neuromuscular monitoring routinely: the real world scenario?
Topics: Androstanols; Cholinesterase Inhibitors; Female; gamma-Cyclodextrins; Humans; Male; Muscle Weakness; | 2014 |
In response.
Topics: Androstanols; Cholinesterase Inhibitors; Female; gamma-Cyclodextrins; Humans; Male; Muscle Weakness; | 2014 |
RESIDUAL NEUROMUSCULAR BLOCKADE (RNMB): ROCURONIUM'S DEFASCICULATING DOSE, NEOSTIGMINE- INDUCED WEAKNESS, AND AWARENESS DURING RECOVERY.
Topics: Androstanols; Anesthesia Recovery Period; Awareness; Electromyography; Humans; Muscle Weakness; Neos | 2015 |
[A case of Erb-Goldflam myasthenia. Trial of a new anti-myasthenic product].
Topics: Humans; Muscle Weakness; Myasthenia Gravis; Neostigmine | 1953 |
[Chemotherapy of myasthenia].
Topics: Muscle Weakness; Myasthenia Gravis; Neostigmine | 1953 |
Prostigmine-induced muscle weakness in myasthenia gravis patients.
Topics: Humans; Muscle Weakness; Muscles; Myasthenia Gravis; Neostigmine; Paresis | 1955 |
[ERB-GOLDFLAM MYASTHENIA IN A 4-YEAR-OLD CHILD].
Topics: Child; Deglutition Disorders; Electromyography; Eyelids; Humans; Muscle Weakness; Myasthenia Gravis; | 1964 |
[A CASE OF PSEUDOPARALYTIC MYESTHENIA GRAVIS IN AN INFANT].
Topics: Electromyography; Eyelids; Humans; Infant; Muscle Weakness; Myasthenia Gravis; Neostigmine | 1964 |
[HOW TO TREAT MYASTHENIA].
Topics: Ambenonium Chloride; Ephedrine; Humans; Muscle Weakness; Myasthenia Gravis; Neostigmine; Physostigmi | 1964 |
[THE THYMUS-MYASTHENIA PROBLEM FROM THE VIEWPOINT OF THE SURGEON].
Topics: Drug Therapy; Humans; Muscle Weakness; Myasthenia Gravis; Neostigmine; Surgeons; Thymectomy; Thymoma | 1965 |
[THYMECTOMY IN THE TREATMENT OF SEVERE MYASTHENIA].
Topics: Acidosis; Acidosis, Respiratory; Bulbar Palsy, Progressive; Drug Therapy; Muscle Weakness; Myastheni | 1965 |
[The quick clinical diagnosis of myasthenia in its beginning; value of the orbicular sign of the eyelids and this finding combined with the prostigmine injection test].
Topics: Eyelids; Humans; Muscle Weakness; Myasthenia Gravis; Neostigmine; Physical Examination | 1955 |
[Myasthenia and the thymus].
Topics: Muscle Weakness; Myasthenia Gravis; Neostigmine; Thymus Gland | 1951 |
[Case of Erb-Goldflam disease (myasthenia)].
Topics: Humans; Muscle Weakness; Myasthenia Gravis; Neostigmine | 1951 |
Myasthenia gravis in a case of malignant thymoma resistant to neostigmine therapy.
Topics: Humans; Muscle Weakness; Myasthenia Gravis; Neoplasms; Neostigmine; Thymoma; Thymus Gland | 1950 |
Muscle weakness after muscle relaxants: an audit of clinical practice.
Topics: Age Factors; Androstanols; Anesthesia, General; Cholinesterase Inhibitors; Female; Hand Strength; Hu | 2004 |
Is vecuronium toxicity abolished by hemodialysis? A case report.
Topics: Cholinesterase Inhibitors; Female; Graft Rejection; Humans; Kidney Transplantation; Middle Aged; Mus | 2000 |