Postoperative and Opioid Free Anesthesia
关键词
抽象
日期
最后验证: | 09/30/2019 |
首次提交: | 10/12/2017 |
提交的预估入学人数: | 10/18/2017 |
首次发布: | 10/19/2017 |
上次提交的更新: | 10/15/2019 |
最近更新发布: | 10/17/2019 |
实际学习开始日期: | 11/28/2017 |
预计主要完成日期: | 01/28/2019 |
预计完成日期: | 06/18/2019 |
状况或疾病
干预/治疗
Drug: Dexmedetomidine
Drug: Control
相
手臂组
臂 | 干预/治疗 |
---|---|
Experimental: Dexmedetomidine | Drug: Dexmedetomidine Opioid-free anesthesia |
Active Comparator: Control | Drug: Control Opioid anesthesia |
资格标准
有资格学习的年龄 | 18 Years 至 18 Years |
有资格学习的性别 | All |
接受健康志愿者 | 是 |
标准 | Inclusion Criteria: - Undergoing a scheduled major or intermediate non-cardiac surgery, - Benefiting from the health insurance system, - Having signed an informed consent. Exclusion Criteria: - Pregnant or breast feeding women, - Allergy to dexmedetomidine or one of its excipients, - Allergy to one of the drugs used for anesthesia or one of their excipients, - Urgent surgery, - Intracranial surgery, - Transplant surgery or transplanted patients, - Surgery with planned regional anesthesia, - Outpatient surgery, - Atrioventricular block, intraventricular or sinoatrial block, - Treatment by chronic betablockers and HR < 50 bpm, - Heart failure with LVEF < 40%, - Adam-Stokes syndrome, - Epilepsy or seizures, - Uncontrolled hypotension, - Acute cerebral pathology, - Obstructive sleep apnea syndrome, - Severe hepatic insufficiency (Prothrombin Ratio < 15%), - Patients in whom the CAM-ICU cannot be performed (deaf patients for example) - Adults legally protected (under judicial protection, guardianship, or supervision), persons deprived of their liberty. |
结果
主要结果指标
1. Occurence of a severe postoperative opioid-related adverse event defined as : postoperative hypoxemia or postoperative ileus (POI) or postoperative cognitive dysfunction (POCD). [Within the first 48 hours after extubation]
次要成果指标
1. Number of episodes of postoperative pain (numeric rating scale ≥ 3), at rest [Within 48 hours after extubation]
2. Opioid consumption [During the 48 hours following extubation]
3. Time between the end of remifentanil or dexmedetomidine administration and an Aldrete score > 9 (when applicable) [Within 48 hours after extubation]
4. Time between the end of remifentanil or dexmedetomidine administration and extubation [Hour 0 = extubation]
5. Rate of unscheduled admission in intensive care unit [Within 48 hours after extubation]
6. Number of postoperative nausea and vomiting (PONV) episodes [During the 48 hours following extubation]
7. Hospital length of stay (max 28 days) defined as the number of days after extubation before first hospital discharge [Day 28]
8. Number of bradycardia, hypotension and hypertension events during surgery and number of rescue medications during surgery [During surgery (maximum duration of 7 hours)]