Influence of high dose intraoperative remifentanil with or without amantadine on postoperative pain intensity and morphine consumption in major abdominal surgery patients
- Conditions
- Postoperative pain intensity and morphine consumption after elective lower abdominal surergy
- Registration Number
- DRKS00004626
- Lead Sponsor
- Klinik für Anästhesiologie mit Schwerpunkt operative Intensivmedizin, Campus Charite Mitte und Virchow Klinikum, Charite - Universitätsmedizin Berlin
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Complete
- Sex
- All
- Target Recruitment
- 48
1) patients of at least 18 years; 2) American Society of Anaesthesiologists physical Status I – II; 3) open surgical procedures of the lower abdomen [(hemi-)colectomy, anterior rectum resection; abdominoperineal rectum resection; radical prostatectomy (RPX)] with an anticipated duration of anaesthesia of at least 90 minutes
(1) were operated by laparoscopy; (2) had to be transfused with = 2 units of packed red blood cells; (3) could not be extubated immediately after surgery; (4) had a chronic inflammatory disease, including inflammatory bowel disease; (5) had acute infection and/or SIRS/Sepsis; (6) had used opioids within 12 h before surgery4; (7) had a history of drug or alcohol abuse, psychiatric disorders or obesity (BMI > 30 kg/m2); (8) had contraindications to the self-administration of opioids (i.e., patients were unable to understand the patient-controlled intravenous analgesia [PCIA] device or had obstructive sleep apnea syndrome); (9) had contraindications to the use of amantadine (e.g., heart rhythm or conductance disturbance, renal insufficiency, epilepsy, delirium)
Study & Design
- Study Type
- interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method Postoperative pain intensity measured by numerical rating scale (NRS) in the 0./1./2./3./4./6. hour with PCIA
- Secondary Outcome Measures
Name Time Method Postoperative morphine consumption measured in milligramm in the 0./1./2./3./4./6. hour with PCIA