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The study is aimed at confronting a surgical pleth index based protocol for intraoperative analgesia in a desflurane based general anesthesia for thyroidectomy, versus a standard clinical approach. A reduction in analgesic consumption and improvement in hemodynamics are expected.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| SPI guided analgesia | Experimental | SPI ≤ 10 percentual points over the post-induction/pre-surgical incision value |
|
| Clinical Guided Analgesia | Active Comparator | No SPI guidance |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Surgical Pleth Index | Device | Effector site concentration of remifentanil based on SPI |
|
| Measure | Description | Time Frame |
|---|---|---|
| Remifentanil consumption | Cumulative remifentanil consumption throughout surgery | Intraoperative |
| Measure | Description | Time Frame |
|---|---|---|
| Hemodynamics | Cumulative number of episodes of hypotension or hypertension or brady/tachycardia | intraoperative |
| Desflurane | Cumulative consumption of desflurane (ml) as measured by datex ohmeda aysis ventilator |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Paolo Onida, MD | Contact | +3907051096543 | paolo.onida80@gmail.com | |
| Paolo Mura, MD | Contact | +3907051096543 | mura_paolo@hotmail.com |
| Name | Affiliation | Role |
|---|---|---|
| Gabriele Finco, MD | University of Cagliari | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Policlinico Duilio Casula | Recruiting | Monserrato | Cagliari | 09072 | Italy |
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| ID | Term |
|---|---|
| D010146 | Pain |
| ID | Term |
|---|---|
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| Clinical guidance | Other | Effector site concentration of remifentanil based on hemodynamic data |
|
| intraoperative |
| Extubation delay | Timespan between end of surgery and extubation | intraoperative |
| Post-operative analgesia 1 | Evaluate the total consumption of analgesics in the first 24 hours after surgery | 24 hr post operative |
| Post-operative analgesia 2 | measure pain in the first post-operative day | 24 hr post operative |
| Adverse reactions | Nausea and vomiting in the 1st post-operative day | 24 hr post operative |
| Patient satisfaction | Evaluate on a 0-4 numeric scale patient satisfaction | 24 hr post operative |