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Influence of Remifentanil on Postoperative Sore Throat in Patients Undergoing General Anesthesia

Not Applicable
Completed
Conditions
Hip Arthroplasty
Interventions
Registration Number
NCT03173339
Lead Sponsor
Keimyung University Dongsan Medical Center
Brief Summary

This investigation is planned to compare the incidence and severity of postoperative sore throat according to the dose of remifentanil.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
92
Inclusion Criteria
  • ASA I-III
  • Patients scheduled for general anesthesia with endotracheal intubation
Exclusion Criteria
  • Difficult airway
  • Rapid sequence induction
  • Recent sore throat
  • Recent upper respiratory infection
  • Asthma
  • Chronic obstructive pulmonary disease
  • Chronic cough
  • Pregnancy
  • Allergy to remifentanil
  • Friable teeth
  • History of head and neck surgery
  • Multiple intubation attempts
  • Regional anesthetic agents
  • Gastric tube
  • Dexamethasone

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Low remifentanil and high sevofluraneHigh sevofluraneRemifentanil was administered as 0.1 mcg/kg/min. Sevoflurane was started as 0.5 MAC. Sevoflurane dose was adjusted to maintain blood pressure (20% of preoperative blood pressure) and bispectral index (40-60) by 0.2 %.
High remifentanil and low sevofluraneHigh remifentanilSevoflurane was administered as 0.5 MAC. Remifentanil was started as 0.25 mcg/kg/min. Remifentanil dose was adjusted to maintain blood pressure (20% of preoperative blood pressure) and bispectral index (40-60) by 0.05 mcg/kg/min.
High remifentanil and low sevofluraneLow sevofluraneSevoflurane was administered as 0.5 MAC. Remifentanil was started as 0.25 mcg/kg/min. Remifentanil dose was adjusted to maintain blood pressure (20% of preoperative blood pressure) and bispectral index (40-60) by 0.05 mcg/kg/min.
Low remifentanil and high sevofluraneEndotracheal intubation using laryngoscopeRemifentanil was administered as 0.1 mcg/kg/min. Sevoflurane was started as 0.5 MAC. Sevoflurane dose was adjusted to maintain blood pressure (20% of preoperative blood pressure) and bispectral index (40-60) by 0.2 %.
High remifentanil and low sevofluraneEndotracheal intubation using laryngoscopeSevoflurane was administered as 0.5 MAC. Remifentanil was started as 0.25 mcg/kg/min. Remifentanil dose was adjusted to maintain blood pressure (20% of preoperative blood pressure) and bispectral index (40-60) by 0.05 mcg/kg/min.
Low remifentanil and high sevofluraneLow remifentanilRemifentanil was administered as 0.1 mcg/kg/min. Sevoflurane was started as 0.5 MAC. Sevoflurane dose was adjusted to maintain blood pressure (20% of preoperative blood pressure) and bispectral index (40-60) by 0.2 %.
Primary Outcome Measures
NameTimeMethod
Number of participants with sore throatAt 24 hr
Secondary Outcome Measures
NameTimeMethod
Number of participants with hoarsenessAt 0, 2, 4 and 24 hr
Number of participants with additional pain medicationAt 0, 2, 4 and 24 hr
Number of participants with sore throatAt 0, 2, 4 and 24 hr
Number of participants with coughAt 0, 2, 4 and 24 hr
Visual analogue scale of postoperative painAt 0, 2, 4 and 24 hr
Number of participants with nauseaAt 0, 2, 4 and 24 hr
Number of participants with vomitingAt 0, 2, 4 and 24 hr
Number of participants with shiveringAt 0, 2, 4 and 24 hr
Requirements of analgesicsAt 0, 2, 4 and 24 hr

Trial Locations

Locations (1)

Keimyung University

🇰🇷

Daegu, Non-US/Canada, Korea, Republic of

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