The Effects of Sufentanil vs. Remifentanil in Total Intravenous Anesthesia With Remimazolam on Postoperative Pain
The Effects of Sufentanil-remimazolam vs. Remifentanil-remimazolam Total Intravenous Anesthesia on Postoperative Pain in Laparoscopic-assisted Gastrectomy - A Randomized, Controlled Study-
1 other identifier
interventional
66
1 country
1
Brief Summary
In this study, the investigators evaluate the effect of total intravenous anesthesia using sufentanil-remimazolam and remifentanil-remimazolam on postoperative pain in patients undergoing laparoscopic gastrectomy.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable
Started Apr 2023
Typical duration for not_applicable
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
February 28, 2023
CompletedFirst Posted
Study publicly available on registry
March 27, 2023
CompletedStudy Start
First participant enrolled
April 1, 2023
CompletedPrimary Completion
Last participant's last visit for primary outcome
March 1, 2025
CompletedStudy Completion
Last participant's last visit for all outcomes
June 1, 2025
CompletedMarch 27, 2023
March 1, 2023
1.9 years
February 28, 2023
March 21, 2023
Conditions
Outcome Measures
Primary Outcomes (1)
Total consumption of fentanyl in 24 hours after surgery
To investigate the effect of total intravenous anesthesia with intraoperative sufentanil-remimazolam and remifentanil-remimazolam on postoperative pain, total cumulative dose of fentanyl was measured for the first postoperative 24 hour.
after 24 hours postoperative period
Study Arms (2)
Sufentanil-remimazolam group
EXPERIMENTALThe sufentanil-remimazolam group receives total intravenous anesthesia with sufentanil-remimazolam.
Remifentanil-remimazolam group
ACTIVE COMPARATORThe remifentanil-remimazolam group receives total intravenous anesthesia with remifentanil-remimazolam.
Interventions
Induction of general anesthesia with 6mg·kg-1·h-1 of remimazolam combined with 0.5 ng·ml-1 of sufentanil. Maintenance of general anesthesia with 1-2mg·kg-1·h-1 of remimazolam combined with 0.2 - 0.6 ng·ml-1 of sufentanil.
Induction of general anesthesia with 6mg·kg-1·h-1 of remimazolam combined with 4 ng·ml-1 of remifentanil. Maintenance of general anesthesia with 1-2mg·kg-1·h-1 of remimazolam combined with 2-6 ng·ml-1 of remifentanil.
Eligibility Criteria
You may qualify if:
- years or older
- Scheduled for laparoscopic-assisted gastrectomy
- American Society of Anesthesiologists(ASA) physical status I and III
You may not qualify if:
- Emergency operation
- Patients with a history of severe hypersensitivity reaction to dextran 40
- Patients who cannot use patient controlled analgesia(PCA)
- Patients with morbid obesity \[body mass index (BMI) \>35 kg/m2\]
- Patients with history of uncontrolled hypertension (diastolic BP \>110mmHg) or DM
- Patients with history of heart failure (unstable angina, congestive heart failure)
- Patients with history of liver failure, renal failure, allergic to medicine
- Patients with history of cerebrovascular disease (cerebral hemorrhage, cerebral ischemia)
- Patients with history of uncontrolled psychiatric disease (PTSD, anxiety, depression)
- Patients with obstructive sleep apnea
- Patients who cannot read the consent form (examples: Illiterate, foreigner)
- Patients who withdraw the consent
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Department of Anesthesiology and Pain Medicine, Anesthesia and Pain Research Institute, Yonsei University College of Medicine
Seoul, South Korea
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Sun Joon Bai, MD, PhD
Department of Anesthesiology and Pain Medicine, Anesthesia and Pain Research Institute, Yonsei University College of Medicine
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Who Masked
- PARTICIPANT, OUTCOMES ASSESSOR
- Purpose
- SUPPORTIVE CARE
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
February 28, 2023
First Posted
March 27, 2023
Study Start
April 1, 2023
Primary Completion
March 1, 2025
Study Completion
June 1, 2025
Last Updated
March 27, 2023
Record last verified: 2023-03