Status:

UNKNOWN

Comparison of an Opioid-Free Anesthesia Protocol Versus Standard Practices on Early and Late Post-operative Recovery

Lead Sponsor:

University Hospital, Angers

Conditions:

Anesthesia

Anesthesia; Adverse Effect

Eligibility:

All Genders

18+ years

Phase:

PHASE3

Brief Summary

Opioid-Free Anesthesia (OFA) is an anesthesia protocol that does not use morphine, and is increasingly used routinely. Indeed, this protocol would theoretically allow a better post-operative analgesic...

Eligibility Criteria

Inclusion

  • Age \> 18 years
  • Surgery lasting more than 90 minutes with planned use of morphine analgesics during post-operative hospitalization (outside the PACU stay),
  • ENT surgery, plastic and reconstructive surgery, digestive and visceral surgery, urological surgery and gynecological surgery,
  • Surgery that does not involve any bone procedure,
  • Written consent of the patient,
  • French-speaking patient, able to understand and answer a questionnaire,
  • Social security affiliation

Exclusion

  • Pregnant, breastfeeding or parturient woman,
  • Person deprived of liberty by judicial or administrative decision,
  • A person who is subject to a legal protection measure,
  • Person unable to express consent,
  • BMI \< 18 and \> 39 kg/m2,
  • Drug contraindications, in particular hypersensitivity to the active substances of one of the study drugs (in particular lidocaine hydrochloride or amide- or clonidine-linked local anaesthetics) or to one of the excipients,
  • Porphyria,
  • Heart failure or unstable coronary artery disease,
  • bradyarrhythmia due to sinus node disease or conduction clock, or Adam-Stock's syndrome, not fitted,
  • Hepatocellular insufficiency with TP \< or =50%,
  • Chronic renal failure with glomerular filtration \< 60 ml/min.
  • Long-term treatment with Imipraminics, Neuroleptics, Baclofen, and all other molecules at risk of QT prolongation,
  • Uncontrolled epilepsy,
  • Chronic treatment with beta-blockers,
  • Need for induction in fast sequence,
  • Severe psychiatric or cognitive disorder that interferes with the evaluation through questionnaires.

Key Trial Info

Start Date :

July 12 2021

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

May 1 2023

Estimated Enrollment :

140 Patients enrolled

Trial Details

Trial ID

NCT04797312

Start Date

July 12 2021

End Date

May 1 2023

Last Update

October 14 2021

Active Locations (1)

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1

University Hospital of Angers

Angers, France, 49000