Sufentanil Infusion vs Sufentanil Bolus
Study Details
Study Description
Brief Summary
Randomized single blind controlled clinical trial to test the benefit of sufentanil infusion over bolus dosing to reduce time to extubation and reduced length of ICU stay.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
Phase 4 |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Active Comparator: Sufentanil Bolus
|
Drug: Sufentanil Bolus
Intra-operative sufentanil bolus
|
Experimental: Sufentanil Infusion
|
Drug: Sufentanil Infusion
Intra-operative sufentanil infusion
Other Names:
|
Outcome Measures
Primary Outcome Measures
- Time to extubation [60 minutes]
Sufentanil infusion administration intra-operatively during routine cardiac surgery decreases time to extubation.
Secondary Outcome Measures
- Plasma concentration [intra-operative]
Sufentanil infusion administration intra-operatively during routine cardiac surgery results in a lower plasma concentration of sufentanil at time of arrival to ICU.
Eligibility Criteria
Criteria
Inclusion Criteria:
-
Scheduled non-emergency cardiac surgical patients including those with planned procedures of CABG, AVR, and combined CABG and AVR
-
19 to 80 years old
-
Planned pre-operative anesthesia screening visit and/or preoperative surgical clinic visit.
-
Inpatient subject that is scheduled (greater than 24hrs in advance) for a non-emergency cardiac surgical case
Exclusion Criteria:
-
Sufentanil allergy
-
EF less than or equal to 30%
-
Moderate or severe right ventricular dysfunction,
-
Moderate pulmonary dysfunction, to include patients with at home 02 and/or daily bronchodilator therapy.
-
End Stage Renal Disease on Dialysis
-
Chronic Kidney Disease with GFR <30
-
Sternotomy Re-do
-
Emergency surgery
-
Greater than 4 units of RBCs or FFP combined
-
Mechanical circulatory support post-operatively such as ECMO, IABP, Impella
-
Not eligible for rapid wean extubation protocol
-
Requires infusion of sedative medication required during ICU admission
-
Greater than or equal to 15 minute ICU hold within PACU
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | University of Nebraska Medical Center | Omaha | Nebraska | United States | 68198 |
Sponsors and Collaborators
- University of Nebraska
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- 520-20-FB