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Keep this study
Lead
University of Colorado, Denver
This is a prospective randomized double-blind single center study on patients with severe kidney failure undergoing kidney transplantation surgery. Patients will have their muscles paralyzed during general anesthesia for surgery. At the end of surgery, muscle paralysis will be reversed with either neostigmine (control group) or sugammadex (intervention group). Residual muscle weakness and respiratory function will be monitored after surgery with a quantitative train-of-four (qTOF) monitor and a noninvasive continuous ventilation monitor. The investigators hypothesize that patients receiving sugammadex will have less residual muscle weakness and better respiratory function than patients receiving neostigmine. Respiratory and kidney function parameters and any adverse events will be collected during the hospital stay. Patients will contacted for a study follow up around 2 weeks after their surgery.
Age
18–90
Sex
ALL
Healthy volunteers
Not accepted
You may be eligible if
At least 18 years or older
Diagnosed with severe kidney dysfunction (defined by plasma creatinine clearance \<30 mL/min)
Planning on kidney transplantation surgery at the University of Colorado Hospital.
You may not be if
Patients unable to sign the informed consent
Pregnant women
Body Mass Index (BMI) \> 40 kg/m2
Pre-existing oxygen or ventilatory dependency (24h use of oxygen or other noninvasive or invasive ventilatory support)
Patients with any pulmonary, neuromuscular or other disease that severely limits their respiratory functional status (e.g. unable to achieve 4 Metabolic Equivalent of Tasks, METs, such as climbing up 1 flight of stairs)
Presence of any contraindication for any of the study-related medications or interventions.