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neostigmine and Neuromuscular Junction Diseases

neostigmine has been researched along with Neuromuscular Junction Diseases in 1 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.

Neuromuscular Junction Diseases: Conditions characterized by impaired transmission of impulses at the NEUROMUSCULAR JUNCTION. This may result from disorders that affect receptor function, pre- or postsynaptic membrane function, or ACETYLCHOLINESTERASE activity. The majority of diseases in this category are associated with autoimmune, toxic, or inherited conditions.

Research Excerpts

ExcerptRelevanceReference
"Residual paralysis is common at tracheal extubation and PACU arrival, despite qualitative neuromuscular monitoring and the use of neostigmine."3.81The RECITE Study: A Canadian Prospective, Multicenter Study of the Incidence and Severity of Residual Neuromuscular Blockade. ( Chaput, A; de Médicis, É; Fortier, LP; Galarneau, A; Jones, PM; McKeen, D; Pouliot, JF; Turner, K; Warriner, B, 2015)

Research

Studies (1)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's0 (0.00)29.6817
2010's1 (100.00)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Fortier, LP1
McKeen, D1
Turner, K1
de Médicis, É1
Warriner, B1
Jones, PM1
Chaput, A1
Pouliot, JF1
Galarneau, A1

Clinical Trials (3)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Accessor Blinded Randomized Controlled Study Evaluating the Efficacy and Safety of Sugammadex in High-Risk Ambulatory Surgeries[NCT03944473]Phase 40 participants (Actual)Interventional2019-06-20Withdrawn (stopped due to Stopped before IRB approval)
Assessment of Residual Paralysis in Patients Who Receive Mini-dose Atracurium During Supraglottic Airway Insertion[NCT02673853]337 participants (Actual)Observational2016-02-29Completed
Residual Curarization and Its Incidence at Tracheal Extubation[NCT01318382]Phase 4302 participants (Actual)Interventional2011-06-30Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Percentage of Participants With Residual Neuromuscular Blockade (NMB)(Train of Four [TOF] Ratio <0.9) at Time of Tracheal Extubation

Neuromuscular functioning was monitored at time of tracheal extubation by applying three TOF electrical stimulations to the ulnar nerve and assessing twitch response at the adductor pollicis muscle. T1 and T4 refer to the magnitudes (height) of the first and fourth twitches, respectively, after TOF nerve stimulation. The T4/T1 Ratio (expressed as a decimal of up to 1.0) indicates the extent of recovery from NMB, with a higher ratio indicating greater recovery from NMB. A T4/T1 Ratio of <0.9 is indicative of residual NMB. (NCT01318382)
Timeframe: Up to 1 minute prior to tracheal extubation

Interventionpercentage of participants (Number)
TOF-Watch SX®56

Percentage of Participants With Residual NMB (TOF Ratio <0.9) Upon Arrival to the Post-anesthesia Care Unit (PACU)

Neuromuscular functioning was monitored at time of PACU arrival by applying three TOF electrical stimulations to the ulnar nerve and assessing twitch response at the adductor pollicis muscle. T1 and T4 refer to the magnitudes (height) of the first and fourth twitches, respectively, after TOF nerve stimulation. The T4/T1 Ratio (expressed as a decimal of up to 1.0) indicates the extent of recovery from NMB, with a higher ratio indicating greater recovery from NMB. A T4/T1 Ratio of <0.9 is indicative of residual NMB. (NCT01318382)
Timeframe: Up to 2 minutes prior to PACU arrival

Interventionpercentage of participants (Number)
TOF-Watch SX®44

Percentage of Participants With Residual NMB at Various TOF Ratios (<0.6, ≥ 0.6 to <0.7, ≥ 0.7 to <0.8, ≥0.8 to <0.9) Upon Arrival to the PACU

Neuromuscular functioning was monitored at time of PACU arrival by applying three TOF electrical stimulations to the ulnar nerve and assessing twitch response at the adductor pollicis muscle. T1 and T4 refer to the magnitudes (height) of the first and fourth twitches, respectively, after TOF nerve stimulation. The T4/T1 Ratio (expressed as a decimal of up to 1.0) indicates the extent of recovery from NMB, with a higher ratio indicating greater recovery from NMB. (NCT01318382)
Timeframe: Up to 2 minutes prior to PACU arrival

Interventionpercentage of participants (Number)
TOF Ratio <0.6TOF Ratio ≥0.6 to <0.7TOF Ratio ≥0.7 to <0.8TOF Ratio ≥0.8 to <0.9TOF Ratio ≥0.9
TOF-Watch SX®7.77.213.515.556.0

Percentage of Participants With Residual NMB at Various TOF Ratios (<0.6, ≥0.6 to <0.7, ≥0.7 to <0.8, ≥0.8 to <0.9) at Tracheal Extubation

Neuromuscular functioning was monitored at time of tracheal extubation by applying three TOF electrical stimulations to the ulnar nerve and assessing twitch response at the adductor pollicis muscle. T1 and T4 refer to the magnitudes (height) of the first and fourth twitches, respectively, after TOF nerve stimulation. The T4/T1 Ratio (expressed as a decimal of up to 1.0) indicates the extent of recovery from NMB, with a higher ratio indicating greater recovery from NMB. (NCT01318382)
Timeframe: Up to 1 minute prior to tracheal extubation

Interventionpercentage of participants (Number)
TOF Ratio <0.6TOF Ratio ≥0.6 to <0.7TOF Ratio ≥0.7 to <0.8TOF Ratio ≥0.8 to <0.9TOF Ratio ≥0.9
TOF-Watch SX®19.111.68.716.644.0

Other Studies

1 other study available for neostigmine and Neuromuscular Junction Diseases

ArticleYear
The RECITE Study: A Canadian Prospective, Multicenter Study of the Incidence and Severity of Residual Neuromuscular Blockade.
    Anesthesia and analgesia, 2015, Volume: 121, Issue:2

    Topics: Abdomen; Adult; Airway Extubation; Androstanols; Anesthesia Recovery Period; Anesthesia, General; An

2015
The RECITE Study: A Canadian Prospective, Multicenter Study of the Incidence and Severity of Residual Neuromuscular Blockade.
    Anesthesia and analgesia, 2015, Volume: 121, Issue:2

    Topics: Abdomen; Adult; Airway Extubation; Androstanols; Anesthesia Recovery Period; Anesthesia, General; An

2015
The RECITE Study: A Canadian Prospective, Multicenter Study of the Incidence and Severity of Residual Neuromuscular Blockade.
    Anesthesia and analgesia, 2015, Volume: 121, Issue:2

    Topics: Abdomen; Adult; Airway Extubation; Androstanols; Anesthesia Recovery Period; Anesthesia, General; An

2015
The RECITE Study: A Canadian Prospective, Multicenter Study of the Incidence and Severity of Residual Neuromuscular Blockade.
    Anesthesia and analgesia, 2015, Volume: 121, Issue:2

    Topics: Abdomen; Adult; Airway Extubation; Androstanols; Anesthesia Recovery Period; Anesthesia, General; An

2015
The RECITE Study: A Canadian Prospective, Multicenter Study of the Incidence and Severity of Residual Neuromuscular Blockade.
    Anesthesia and analgesia, 2015, Volume: 121, Issue:2

    Topics: Abdomen; Adult; Airway Extubation; Androstanols; Anesthesia Recovery Period; Anesthesia, General; An

2015
The RECITE Study: A Canadian Prospective, Multicenter Study of the Incidence and Severity of Residual Neuromuscular Blockade.
    Anesthesia and analgesia, 2015, Volume: 121, Issue:2

    Topics: Abdomen; Adult; Airway Extubation; Androstanols; Anesthesia Recovery Period; Anesthesia, General; An

2015
The RECITE Study: A Canadian Prospective, Multicenter Study of the Incidence and Severity of Residual Neuromuscular Blockade.
    Anesthesia and analgesia, 2015, Volume: 121, Issue:2

    Topics: Abdomen; Adult; Airway Extubation; Androstanols; Anesthesia Recovery Period; Anesthesia, General; An

2015
The RECITE Study: A Canadian Prospective, Multicenter Study of the Incidence and Severity of Residual Neuromuscular Blockade.
    Anesthesia and analgesia, 2015, Volume: 121, Issue:2

    Topics: Abdomen; Adult; Airway Extubation; Androstanols; Anesthesia Recovery Period; Anesthesia, General; An

2015
The RECITE Study: A Canadian Prospective, Multicenter Study of the Incidence and Severity of Residual Neuromuscular Blockade.
    Anesthesia and analgesia, 2015, Volume: 121, Issue:2

    Topics: Abdomen; Adult; Airway Extubation; Androstanols; Anesthesia Recovery Period; Anesthesia, General; An

2015