Comparison of Postoperative Pain Application of Alfentanil or Remifentanil in TIVA

• Status: Not yet recruiting
• Trial end date: 2024-05-05
• Target enrollment: 0
• Participant gender: All

Summary

Total intravenous anesthesia (TIVA) is maintained by intermittent or continuous combined intravenous injection of a variety of short-acting intravenous anesthetics, which can provide safe and rapid induction, maintenance and termination of general anesthesia. It has a slight effect on respiration and circulation, strong controllability, short anesthetic recovery time, reduced postoperative nausea and vomiting (PONV) and quick discharge time, so it has been widely used in clinic. Functional endoscopic sinus surgery is a common method for the treatment of sinusitis and other diseases. The trauma of this operation is less. The use of TIVA during the operation can reduce the bleeding in the surgical field and is beneficial to the recovery of patients.

The combination of propofol and remifentanil is the most common in TIVA because of its fast pharmacokinetics and short half-life. However, the disadvantage of remifentanil is the lack of residual analgesic effect after termination of continuous infusion. As postoperative nasal packing can still bring postoperative pain, patients with severe discomfort caused by pain will have unexpected conditions such as surgical incision cracking and bleeding, which will affect the effect of operation and rehabilitation. Afentanil is another opioid drug with short effect and strong analgesic effect. Previous studies have shown that remifentanil-based TIVA has slightly higher postoperative pain and early use of analgesics than TIVA in discectomy. Because the effect of TIVA using Afentanil or remifentanil on postoperative pain in functional nasal endoscopic surgery is not clear, this study intends to observe the effect of TIVA on postoperative pain in patients undergoing functional nasal endoscopic surgery under general anesthesia, so as to optimize the clinical anesthetic scheme of this kind of minimally invasive surgery and provide clinical reference.

• Phase: Early Phase 1
• Accepts Healthy Volunteers?: Accepts Healthy Volunteers

Details

• Lead Sponsor: Xijing Hospital
• Treatments: Remifentanil

Criteria

Inclusion Criteria:

1.1 Age 18-65 years old, regardless of gender. 1.2 ASA grades Ⅰ-Ⅲ. 1.3 patients undergoing functional endoscopic sinus surgery under general anesthesia.

1.4 voluntarily sign the informed consent form.

Exclusion Criteria:

1.1Significant hypertension (diastolic blood pressure > 100mmHg) or hypotension (systolic blood pressure < 100mmHg).

1.2 severe mental, cardiovascular, kidney or liver disease. 1.3 previous history of alcohol or drug abuse. 1.4 long-term use of painkillers before operation. 1.5 contraindications for any drugs used in the study. 1.6 those who participated in other clinical trials in the first three months of the selection