Anaesthetic drugs & techniques

Sugammadex for preventIoN oF pOst-operative pulmoNary complIcAtions (SINFONIA): protocol for an embedded mixed-methods process evaluation

BJA OpenPublished Protocol for an embedded mixed-methods process evaluation of the SINFONIA randomised trial

Study context

Population
Patients undergoing major abdominal or thoracic surgery (SINFONIA trial sites)
Planned comparison
Sugammadex vs neostigmine to reverse NMB
Methodological detailsexplanatory sequential design, POETIC framework, logic model, electronic survey and semi-structured interviews, multi-centre, pragmatic, Examines Context, Fidelity, Dose, Reach, and Quality of Delivery; quantitative data on intervention delivery first, then qualitative data explaining variation; findings integrated with main trial results
  • Explanatory sequential design
  • POETIC framework
  • Logic model
  • Electronic survey and semi-structured interviews
  • Multi-centre
  • Pragmatic
  • Examines Context, Fidelity, Dose, Reach, and Quality of Delivery; quantitative data on intervention delivery first, then qualitative data explaining variation; findings integrated with main trial results

No results yet. This paper sets out the design of a trial; its results are to come.

Original publication

Sugammadex for preventIoN oF pOst-operative pulmoNary complIcAtions (SINFONIA): protocol for an embedded mixed-methods process evaluation. BJA Open. Published 2 September 2026. doi:10.1016/j.bjao.2026.100856

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