Unique ID issued by UMIN | UMIN000011185 |
---|---|
Receipt number | R000013102 |
Scientific Title | Comparison of intraoperative relatively high-dose and low-dose remifentanil for postoperative epidural analgesia after gynecological abdomonal surgery |
Date of disclosure of the study information | 2013/07/13 |
Last modified on | 2013/08/25 09:15:21 |
Comparison of intraoperative relatively high-dose and low-dose remifentanil for postoperative epidural analgesia after gynecological abdomonal surgery
Intraoperative remifentanil for postoperative epidural analgesia
Comparison of intraoperative relatively high-dose and low-dose remifentanil for postoperative epidural analgesia after gynecological abdomonal surgery
Intraoperative remifentanil for postoperative epidural analgesia
Japan |
gynecological abdominal surgery
Obstetrics and Gynecology | Anesthesiology |
Others
NO
The objective was to compare the effect of intraoperative high-dose and low-dose remifentanil infusion on postoperative epidural analgesia started at the end of surgery
Safety,Efficacy
cumulative amount of local anesthetics at 48 h after surgery
pain intensity assessed with the Prince Henry pain scale
Interventional
Parallel
Randomized
Open -but assessor(s) are blinded
Dose comparison
2
Treatment
Medicine |
In the high-dose remifentanil group, while an end-tidal sevoflurane concentration was maintained at 1.2% throughout anaesthesia, a remifentanil infusion was started at a rate of 0.25 ug/kg/min and subsequently increased or decreased stepwise by 0.05 ug/kg/min increments to maintain systolic blood pressure within 20% of baseline values during surgery.
In the low-dose remifentanil group, while a remifentanil infusion was maintained at a rate of 0.1 ug/kg/min throughout anaesthesia, an end-tidal sevoflurane concentration was started at 2.0% and subsequently increased or decreased stepwise by 0.5% increments to maintain systolic blood pressure within 20% of baseline values during surgery.
20 | years-old | <= |
69 | years-old | >= |
Female
patients undergo elective gynaecological abdominal surgery with lower abdominal incision below umbilicus
Patients were not excluded if they had diabetes, chronic pain, psychiatric illness, a preoperative use of opioid analgesics, a history of drugs or alcohol abuse, or were unable to use a patient-controlled analgesia (PCA) device. Patients were also excluded if there were any contraindications to epidural catheter placement, or if they refused epidural catheter placement.
30
1st name | |
Middle name | |
Last name | Yamashita, Soichiro |
University of tsukuba
Department of Anesthesiology, Faculty of Medicine
Tennodai 1-1-1, Tsukuba, Ibaraki 305-8575, Japan
1st name | |
Middle name | |
Last name | Yamashita, Soichiro |
University of tsukuba
Faculty of Medicine
soichiyamashita@md.tsukuba.ac.jp
Department of anesthesiology, Faculty of medicine, University of Tsukuba
none
Other
NO
2013 | Year | 07 | Month | 13 | Day |
Unpublished
Completed
2009 | Year | 07 | Month | 07 | Day |
2009 | Year | 09 | Month | 01 | Day |
2011 | Year | 04 | Month | 30 | Day |
2012 | Year | 10 | Month | 30 | Day |
2012 | Year | 10 | Month | 30 | Day |
2013 | Year | 01 | Month | 30 | Day |
2013 | Year | 07 | Month | 12 | Day |
2013 | Year | 08 | Month | 25 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000013102