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N/A N=150 Randomized Double-blind Prevention

Effect of Dexmedetomidine Combined With Low-dose Nalmefene on Preventing Remifentanil-induced Postoperative Hyperalgesia

Pain · Anesthesia

Enrolled (actual)
150
Serious AEs
0.0%
Results posted
Aug 2021
Primary outcome: Primary: Mechanical Hyperalgesia Threshold on the Dominant Inner Forearm — 61.5; 88.2; 73.0; 67.2 g

Study Design & Population

Study type
Interventional
Phase
N/A
Interventions
Normal saline (Drug); Remifentanil (Drug); Sufentanil (Drug); Dexmedetomidine injection (Drug); Nalmefene (Drug)
Age
Adult, Older Adult · 20+ yrs
Sex
Female
Sponsor
Tianjin Medical University General Hospital
Primary completion
Dec 2017

Outcome Measures

OutcomeResultp-value
PRIMARY
Mechanical Hyperalgesia Threshold on the Dominant Inner Forearm
61.5; 88.2; 73.0; 67.2; 74.0
SECONDARY
Normalized Area of Hyperalgesia Around the Incision
SECONDARY
Pain Score (Numerical Rating Scale)
SECONDARY
Time of First Postoperative Analgesic Requirement
SECONDARY
Cumulative Sufentanyl Consumption
SECONDARY
Occurrence of Side Effects

Summary

To explore and compare antihyperalgesic effects of Dexmedetomidine,Nalmefene,and a combination of both received before anesthesia induction. To evaluate and examine the incidence of adverse effects with the purpose of selecting the optimum dose.

Eligibility Criteria

Inclusion Criteria

  • Patients are scheduled to undergo Gynecological surgery under a short general anesthesia of 1-3 hours.
  • American Society of Anesthesiologists physical status is I-II.
  • Written informed consent was obtained from all the subjects.

Exclusion Criteria

  • Subject has a diagnosis of Coronary heart disease, bronchial asthma, cardiac, lung, hepatic and renal insufficiency.
  • Subject has a diagnosis of Severe high blood pressure , diabetes, obesity (BMI>30).
  • Subject has a history of chronic pain, a history of alcohol or opioid abuse, pre-existing therapy with opioids, intake of any analgesic drug within 48 h before surgery.
  • .Subject has Pregnancy, psychiatric disease.
  • Subject has any contraindication for the use of patient-controlled analgesia (PCA).
  • Inability to understand the Study Information Sheet and provide a written consent to take part in the study.
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT03096730). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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