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Estimating EC95 of Remifentanil for Cough Prevention During Emergence From Total Intravenous Anesthesia With Propofol and Remifentanil in Patients Undergoing Transsphenoidal Hypophysectomy

Not Applicable
Completed
Conditions
Hypophysectomy
Interventions
Drug: Administration of remifentanil with TCI system
Registration Number
NCT01735019
Lead Sponsor
Yonsei University
Brief Summary

In patients undergoing hypophysectomy through transsphenoidal approach, preventing cough during anesthetic emergence is important to avoid hemorrhage and cerebrospinal fluid leakage. Previous reports demonstrated that administration of remifentanil during anesthetic emergence could reduce the incidence and severity of cough during anesthetic emergence. Therefore, the objective of this study is to determine EC95 of remifentanil for preventing cough during anesthetic emergence in patients undergoing hypophysectomy with transsphenoidal approach.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
40
Inclusion Criteria
  • scheduled to undergo hypophysectomy with transsphenoidal approach
  • American Society of Anesthesiologists physical status I or II
  • more than 20 years old
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Exclusion Criteria
  • acute or chronic respiratory disease
  • uncontrolled hypertension
  • taking sedatives or anti-tussive
  • gastro-esophageal reflux
  • pregnant or breast feeding
  • patients who cannot understand statements for subjects or this study itself
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Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
group 1Administration of remifentanil with TCI systemadministration of remifentanil with target-controlled infusion (TCI) system at a given concentration during anesthetic emergence
Primary Outcome Measures
NameTimeMethod
The occurrence of cough during anesthetic emergence5 min after extubation

At a given effect-site concentration of remifentanil, if cough does not occur during anesthetic emergence, it would be considered as a success. On the other hand, if cough occurs during anesthetic emergence, it would be considered as a failure.

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Severance Hospital

🇰🇷

Seoul, Korea, Republic of

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