Influence of Esmolol on a Closed-Loop Anesthesia System
- Registration Number
- NCT00922467
- Lead Sponsor
- Hopital Foch
- Brief Summary
Main objective is to evaluate the sparing effect of esmolol on the required doses of propofol and remifentanil
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- TERMINATED
- Sex
- Male
- Target Recruitment
- 15
Inclusion Criteria
- male patients scheduled for a general anesthesia
Exclusion Criteria
- age lower than 18 years
- allergy to propofol, or to soja or to peanuts, or to sufentanil, to remifentanil, or to morphine, or to a myorelaxant or to an excipient,
- any other history of anaphylactic reaction,
- hypersensibility to sufentanil, or to remifentanil, or to other derivate of fentanyl,
- hypersensibility to esmolol or to an excipient,
- history of central nervous system disease,
- patients receiving a psychotropic treatment or an agonist-antagonist opiate,
- hypovolemic patients,
- patients receiving a cardio-vascular treatment,
- patients with a pacemaker,
- expected bleeding more than 20% of the blood volume,
- simultaneous general and loco-regional anesthesia,
- patients suffering from asthma, COPD, trouble of the heart rhythm or conduction, cardiac insufficiency, cardiogenogenic shock, Prinzmetal syndrome, pheochromocytoma,
- patients with a heart rate less than 50/min and/or an arterial hypotension,
- neurosurgical act or any other which precludes an adequate positioning of the bispectral electrode.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Placebo NaCl 9/00 patients will receive a closed-loop administration of propofol and remifentanil according to bispectral level and a placebo Esmolol Esmolol patients will receive a closed-loop administration of propofol and remifentanil according to bispectral level and esmolol
- Primary Outcome Measures
Name Time Method administered doses of propofol and of remifentanil during anesthesia end of anesthesia
- Secondary Outcome Measures
Name Time Method hemodynamic abnormalities requiring a treatment end of anesthesia delay before recovery at the end of anesthesia postoperative morphine requirement Third post-anesthetic hour explicit memorisation Second postoperative day
Related Research Topics
Explore scientific publications, clinical data analysis, treatment approaches, and expert-compiled information related to the mechanisms and outcomes of this trial. Click any topic for comprehensive research insights.
What molecular mechanisms explain esmolol's sparing effect on propofol and remifentanil in closed-loop anesthesia?
How does esmolol compare to other beta-blockers in reducing propofol and remifentanil requirements during closed-loop anesthesia?
Are there specific biomarkers that predict enhanced anesthetic sparing with esmolol in patients undergoing closed-loop systems?
What adverse events are associated with esmolol use in closed-loop anesthesia and how are they managed clinically?
What other beta-adrenergic antagonists or adjuvant drugs show potential for optimizing closed-loop anesthesia delivery?
Trial Locations
- Locations (1)
Hôpital Foch
🇫🇷Suresnes, France
Hôpital Foch🇫🇷Suresnes, France