Comparison of Analgesic Effect of Volatile Anesthetics
Study Details
Study Description
Brief Summary
The purpose of this clinical trial is to compare analgesic effect of sevoflurane and desflurane at equal minimum alveolar concentrations using surgical pleth index.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
Phase 3 |
Detailed Description
Volatile anesthetics vary in their relative hypnotic potency. Recent studies demonstrated that equi-minimum alveolar concentration of various volatile anesthetic agents may produce different bispectral index values. However, the difference between analgesic effects of volatile anesthetics have not yet been investigated. The purpose of this clinical trial is to compare analgesic effect of sevoflurane and desflurane at equal minimum alveolar concentrations using surgical pleth index-guided remifentanil infusion.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Experimental: Sevoflurane Anesthesia was maintained with sevoflurane. |
Drug: Sevoflurane
End-tidal concentration of sevoflurane was maintained at age-corrected 1 minimum alveolar concentration throughout the study period. The remifentanil infusion rate was adjusted using TCI pump to achieve surgical pleth index between 20 and 50.
Other Names:
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Experimental: Desflurane Anesthesia was maintained with desflurane. |
Drug: Desflurane
End-tidal concentration of desflurane was maintained at age-corrected 1 minimum alveolar concentration throughout the study period. The remifentanil infusion rate was adjusted using TCI pump to achieve surgical pleth index between 20 and 50.
Other Names:
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Outcome Measures
Primary Outcome Measures
- Remifentanil consumption (µg/kg/min) [During the intraoperative period]
Secondary Outcome Measures
- Target effective site concentration of remifentanil (ng/ml) [After at least 10 min of stable surgical pleth index values]
Eligibility Criteria
Criteria
Inclusion Criteria:
-
patients undergoing balanced general anesthesia using volatile anesthetics and remifentanil
-
patients with american society of anesthesiologist physical status I, II
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patients aged 19-65 years
-
patients obtaining written informed consent
Exclusion Criteria:
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patients with a history of any psychiatric or neurological disease
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patients who had received any medication affecting the central nervous system
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patients who had received medication affecting the sympathetic or parasympathetic nervous systems
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patients undergoing tracheal intubation for airway management
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pregnant women
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Kangbuk Samsung Hospital | Seoul | Korea, Republic of | 03181 |
Sponsors and Collaborators
- Kangbuk Samsung Hospital
Investigators
- Principal Investigator: Kyoungho Ryu, M.D., Kangbuk Samsung Hospital
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- 2016-05-058