The EC90 of Remifentanil Blunting Hemodynamic Changes to Head Fixation

NCT ID: NCT01489137

Last Updated: 2012-08-17

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

50 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-11-30

Brief Summary

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The purpose of this study is to estimate the EC90 of remifentanil blunting hemodynamic changes to head fixation in the patients undergoing neurosurgery.

Detailed Description

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Conditions

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Brain Tumor AVM ICH

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

Study Groups

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neurosurgery with fixation

Group Type EXPERIMENTAL

remifentanil

Intervention Type DRUG

According to previous patient's response, the investigators will allocate the effect site concentration of remifentanil of next patient during head fixation. And, For this allocation of dose of remifentanil the investigators use biased coin design up-and-down method.

For the first patient, the dose of remifentanil would be fixed at 5.5ng/ml which we predict as EC90. And, step size of dose is 0.5ng/ml.

Interventions

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remifentanil

According to previous patient's response, the investigators will allocate the effect site concentration of remifentanil of next patient during head fixation. And, For this allocation of dose of remifentanil the investigators use biased coin design up-and-down method.

For the first patient, the dose of remifentanil would be fixed at 5.5ng/ml which we predict as EC90. And, step size of dose is 0.5ng/ml.

Intervention Type DRUG

Other Intervention Names

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Biased coin design up-and-down method.

Eligibility Criteria

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Inclusion Criteria

* patients undergoing neurosurgery that require head fixation with mayfield head holder
* patients who agree to our study

Exclusion Criteria

* patients who don't agree to our study
* BMI\<16.0 or BMI\>30
* cardiovascular disease, pulmonary disease, renal disease
* alcoholic abuser or drug abuser
* patients who takes any drug having an influence on cardiovascular system or sympathetic nervous system
* any use of local anesthetics or drugs which have an influence on cardiovascular system from beginning of induction to peri-fixation period
Minimum Eligible Age

20 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Seoul National University Hospital

OTHER

Sponsor Role lead

Responsible Party

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Jae-Hyon Bahk, MD, PhD

professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Seoul National University Hospital

Seoul, Seoul, South Korea

Site Status

Countries

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South Korea

References

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Lee JM, Bahk JH, Lim YJ, Lee J, Lim L. The EC90 of remifentanil for blunting cardiovascular responses to head fixation for neurosurgery under total intravenous anesthesia with propofol and remifentanil based on bispectral index monitoring: estimation with the biased coin up-and-down sequential method. BMC Anesthesiol. 2017 Oct 10;17(1):136. doi: 10.1186/s12871-017-0426-z.

Reference Type DERIVED
PMID: 29017455 (View on PubMed)

Other Identifiers

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JHBahk_fixation_remifentanil

Identifier Type: -

Identifier Source: org_study_id