NCT06650371

Brief Summary

This Study aims to evaluate the efficacy of opioid free general anesthesia in achieving enhanced recovery after surgery (ERAS) in laparoscopic bariatric surgery in terms of post-operative recovery time, cumulative pethidine consumption and number of episodes of postoperative nausea and vomiting(PONV).

Trial Health

35
At Risk

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Enrollment
36

participants targeted

Target at P25-P50 for not_applicable

Timeline
Completed

Started Nov 2024

Shorter than P25 for not_applicable

Status
not yet recruiting

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

September 29, 2024

Completed
22 days until next milestone

First Posted

Study publicly available on registry

October 21, 2024

Completed
1 month until next milestone

Study Start

First participant enrolled

November 20, 2024

Completed
5 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

May 1, 2025

Completed
3 months until next milestone

Study Completion

Last participant's last visit for all outcomes

August 1, 2025

Completed
Last Updated

October 21, 2024

Status Verified

October 1, 2024

Enrollment Period

5 months

First QC Date

September 29, 2024

Last Update Submit

October 18, 2024

Conditions

Keywords

Opioid free anesthesialaparoscopic bariatric surgeries

Outcome Measures

Primary Outcomes (2)

  • Time between the end of analgesic used and an Aldrete score > 9 (when applicable).

    Decrease opioid usage ,decrease recovery time

    15 minutes

  • Time between the end of operation to PACU

    Decrease opioid usage ,decrease recovery time

    15 minutes

Secondary Outcomes (2)

  • Cumulative pethidine consumption

    24 hours postoperative

  • Number of episodes of nausea and vomiting [Time Frame: During the 24 hours following extubation].

    24 hours postoperative

Study Arms (2)

Fentanyl infusion

ACTIVE COMPARATOR

Analgesia will be offered by fentanyl in induction and maintenance according to ideal body weight (IBW).

Drug: Fentanyl infusion

Dexamedomedine and ketamine infusion

ACTIVE COMPARATOR

Opioid free anesthesia Analgesia will be offered by syringe containing ketamine and dexmedetomidine in induction and maintenance according to IBW.

Drug: Dexamedomedine and ketamine infusion

Interventions

opioid based anesthesia analgesia will be offered by fentanyl in induction and maintenance according to Ideal Body Weight (IBW).

Fentanyl infusion

Analgesia will be offered by syringe containing ketamine and Dexmedetomidine in induction and maintenance according to IBW.

Dexamedomedine and ketamine infusion

Eligibility Criteria

Age18 Years - 65 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Undergoing a scheduled laparoscopic bariatric surgery under general anesthesia.
  • Age group: 18-65 years old.
  • BMI greater than 35 to 50 Kg/m2
  • ASA physical status classes I and II.

You may not qualify if:

  • Patient refusal.
  • ASA physical status classes III and IV.
  • Anticipated difficult intubation.
  • Hypersensitivity to any drugs used in this study. Inability to extubate the patient at the end of the operation. Conversion to laparotomy. Patients for whom the anesthetic regimen is changed intraoperatively (from OFA to OBA or vice versa).

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Central Study Contacts

Eman Mohamed Zain

CONTACT

Eman Zain

CONTACT

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
PARTICIPANT, CARE PROVIDER
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Doctor

Study Record Dates

First Submitted

September 29, 2024

First Posted

October 21, 2024

Study Start

November 20, 2024

Primary Completion

May 1, 2025

Study Completion

August 1, 2025

Last Updated

October 21, 2024

Record last verified: 2024-10