LoopLido: Lidocaine and Closed-Loop Anesthesia System
Study Details
Study Description
Brief Summary
The objective is to evaluate the sparing effect of Lidocaine on doses of propofol and remifentanil.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
Phase 3 |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Experimental: Lidocaine Patients will receive a closed-loop administration of propofol and remifentanil according to bispectral level and Lidocaine |
Drug: Lidocaine
bolus dose of lidocaine (1.5 mg.kg-1) followed by an infusion of lidocaine (2 mg.kg-1 h-1) until the end of anesthesia.
start of the induction of anesthesia 10 minutes after the bolus dose of lidocaine
|
Placebo Comparator: Placebo patients will receive a closed-loop administration of propofol and remifentanil according to bispectral level and a placebo |
Drug: Placebo
NaCl 9/00 (same volume as in the lidocaine group)
start of the induction of anesthesia 10 minutes after the bolus dose of NaCl 9/00
|
Outcome Measures
Primary Outcome Measures
- administered dose of propofol during maintenance of anesthesia [day 1]
Secondary Outcome Measures
- administered dose of propofol during induction of anesthesia [day 1]
- administered doses of remifentanil during induction and maintenance of anesthesia [day 1]
- delay (measured as minutes) between the end of propofol and remifentanil administration and the recovery from anesthesia [day 1]
- hemodynamic abnormalities requiring treatment [day 1]
- % of time with a BIS index between 40 and 60 [day 1]
- postoperative morphine requirement [day 1]
- incidence of postoperative nausea and vomiting [day 1]
- % of patients with an explicit memorisation of the intraoperative period [second postoperative day]
Eligibility Criteria
Criteria
Inclusion Criteria:
- patients ASA 1, 2 or 3 scheduled for a general anesthesia surgical procedure (abdominal surgery, urology, ENT major procedure) lasting between 1 and 3 hours
Exclusion Criteria:
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age under 18 years
-
simultaneous general and loco-regional anesthesia
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allergy to NSAID
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treatment with verapamil, ketamine or gabapentin
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patients receiving an opioid preoperatively
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severe hepatic insufficiency
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contra-indication to lidocaine
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contra-indication to propofol or to remifentanil
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history of central nervous system disease
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patients receiving a psychotropic treatment
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patients with a pace-maker
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Hopital Tenon | Paris | France | 75020 |
Sponsors and Collaborators
- Hopital Foch
Investigators
- Study Chair: Marc Fischler, MD, Hôpital Foch
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- 2010/18
- 2010-019979-29