Opioid Free Anesthesia on the Quality of Early Recovery
opioid-free
The Effect of Opioid-free Anesthesia Protocol on the Early Quality of Recovery After Thyroidectomy (TOFA Trial): Study Protocol for a Prospective, Monocentric, Randomized, Single-blinded Trial
1 other identifier
interventional
160
1 country
1
Brief Summary
To analyze and compare the effect of OFA scheme and traditional balanced anesthesia scheme on QoR15 after thyroidectomy, and further clarify the safety and rationality of OFA scheme in perioperative application of thyroid surgery.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for phase_4
Started Aug 2024
Typical duration for phase_4
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
October 7, 2022
CompletedFirst Posted
Study publicly available on registry
October 13, 2022
CompletedStudy Start
First participant enrolled
August 1, 2024
CompletedPrimary Completion
Last participant's last visit for primary outcome
October 1, 2026
CompletedStudy Completion
Last participant's last visit for all outcomes
December 30, 2026
ExpectedAugust 5, 2026
June 1, 2026
2.2 years
October 7, 2022
August 3, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
The QoR-15 score
The quality of recovery-15 score,The QoR was classified as excellent (QoR-15 \> 135), good (122 ≤ QoR-15 ≤ 135), moderate (90 ≤ QoR-15 ≤ 121) or poor (QoR-15 \< 90).
Hour 24 after surgery
Secondary Outcomes (8)
Postoperative VAS score
Hour 24,Hour 48,Hour 72 after surgery
Postoperative complication rate
Hour 24,Hour 48,Hour 72 after surgery
Opioid consumption
Hour 24,Hour 48,Hour 72 after surgery
Anesthesia related adverse events
Hour 24,Hour 48,Hour 72 after surgery
Postoperative fatigue, ICFS scores after surgery
Hour 24,Hour 48,Hour 72 after surgery
- +3 more secondary outcomes
Study Arms (2)
C group
NO INTERVENTIONopioid-based anesthesia
T group
EXPERIMENTALOpioid-free Anesthesia
Interventions
OFA scheme (group T) was given dexamethasone 8mg for anti-inflammatory and antiemetic before operation, flurbiprofen axetil 50mg for preemptive analgesia, and dexmedetomidine was infused under ECG monitoring at an initial rate of 0.5 μ G/kg (more than 10min), then changed to 0.2ug/kg/h, and stopped infusion 20 minutes before operation closure. Before induction, lidocaine (1mg/kg), esketamine (0.5mg/kg), propofol (1-2mg/kg) and rocuronium (0.6mg/kg) were infused slowly, and endotracheal intubation was carried out when the anesthetic was fully effective and the BIS value was about 40. After successful intubation.During the operation, continuous propofol (BIS-guided) plus dexmedetomidine 0.2 μg/kg/h (stopped 20 min before skin closure) plus lidocaine 1 mg/kg/h was used to maintain the depth of anesthesia;
Eligibility Criteria
You may qualify if:
- Patients undergoing elective thyroidectomy under general anesthesia
- \>18 year old
- The informed consent form has been signed
- American Society of Anesthesiologists (ASA) anesthesia grade I - II
You may not qualify if:
- Long term use of opioids
- Long term use of NSAIDs
- Have a history of psychosis, epilepsy, preoperative anxiety, depression, and emotional management disorders
- Patients with increased gastric contents reflux and respiratory tract aspiration
- Operation time\>3h
- Severe liver and kidney insufficiency, cardiac insufficiency, bradycardia with 2 ° II or 3° atrioventricular block
- Those who are allergic to or have contraindications to drugs that may be used in the test
- Those who cannot cooperate with researchers
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Beijing Friendship Hospital, Capital Medical University
Beijing, Beijing Municipality, 100050, China
MeSH Terms
Interventions
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Haijun Hou
Guang'anmen Hospital of China Academy of Chinese Medical Sciences
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- phase 4
- Allocation
- RANDOMIZED
- Masking
- TRIPLE
- Who Masked
- PARTICIPANT, CARE PROVIDER, INVESTIGATOR
- Purpose
- PREVENTION
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
October 7, 2022
First Posted
October 13, 2022
Study Start
August 1, 2024
Primary Completion
October 1, 2026
Study Completion (Estimated)
December 30, 2026
Last Updated
August 5, 2026
Record last verified: 2026-06
Data Sharing
- IPD Sharing
- Will not share