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临床试验/NCT05031234
NCT05031234已完成不适用

Evaluation of the Benefit of Non-opioid General Anaesthesia on Postoperative Pain in Laparoscopic Colonic Surgery

GCS Ramsay Santé pour l'Enseignement et la Recherche1 个研究点 分布在 1 个国家目标入组 160 人开始时间: 2020年12月17日最近更新:
适应症
干预措施
相关药物

试验速览

阶段
不适用
状态
已完成
发起方
入组人数
160
试验地点
1
主要终点
Morphine Use

研究概览

简要总结

Evaluation of the benefit of non-opioid general anaesthesia on postoperative pain in laparoscopic colonic surgery

详细描述

Single-centre prospective randomised study carried out in two parallel groups of patients undergoing laparoscopic colectomy.

  • Group 1: conventional general anaesthesia with morphine
  • Group 2: general anaesthesia without opiates

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Treatment
盲法
Single (Participant)

盲法说明

The patient does not know which treatment is used for the anesthesia

入排标准

年龄范围
18 Years 至 —(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Patient over 18 years of age who has read and signed the consent form for participation in the study
  • Patient candidate for laparoscopic colectomy (planned or emergency) with possible conversion to laparotomy

排除标准

  • Severe renal failure with baseline clearance<30, hepatic failure with baseline PT<40%, cardiac failure with LVEF<20%.
  • Patient under court protection, guardianship or curatorship
  • Pregnant or breastfeeding patient
  • Patient not affiliated to the French social security system
  • Impossible to give the subject informed information and/or to give written informed consent: dementia, psychosis, disturbed consciousness, non-French speaking patient
  • Contraindication to anaesthesia or to the administration of one of the products used in the anaesthesia protocol
  • Patient participating in another interventional research or in a period of exclusion from a previous research

研究组 & 干预措施

Group with morphine

Active Comparator

conventional general anaesthesia with morphine

干预措施: anaesthesia with morphine (Drug)

Group without opiates

Experimental

general anaesthesia without opiates

干预措施: anaesthesia without opiates (Drug)

结局指标

主要结局

Morphine Use

时间窗: 48 hours

All intravenous and oral morphine consumed in the first 48 hours after surgery

次要结局

  • Duration of Mean arterial pressure <65(48 hours)
  • Postoperative pain H12(Hour 12)
  • Duration of Mean arterial pressure <55(48 hours)
  • Average heart rate(48 hours)
  • Mean arterial pressure(48 hours)
  • Mean arterial pressure variability(48 hours)
  • Postoperative pain H24(Hour 24)
  • Postoperative pain H36(Hour 36)
  • Postoperative pain H48(Hour 48)
  • Postoperative pain D30(Day 30)
  • Atropine dose administered(48 hours)
  • Heart rate variability(48 hours)
  • Bradycardia duration < 50(48 hours)
  • Ephedrine dose administered(48 hours)
  • Noradrenaline dose administered(48 hours)
  • Neosynephrine dose administered(48 hours)
  • Urapidil dose(48 hours)
  • Nicardipine dose(48 hours)
  • Postoperative hypoxemia(48 hours)
  • Consumption of non-morphine drug(Day 90)
  • Assessment of tolerance(Day 90)
  • Assessment of disability(Day 90)
  • Time to extubation, time to resumption of transit, time to onset of first gas, length of stay in ICU and total length of hospital stay(Day 90 at least)
  • Immediate postoperative hypoxemia(Day 1)
  • Oxygen requirement(Day 2)

研究者

发起方
GCS Ramsay Santé pour l'Enseignement et la Recherche
申办方类型
Other
责任方
Sponsor

研究点 (1)

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