Effects of Propofol on Early Recovery of Hunger After Surgery

NCT ID: NCT02272166

Last Updated: 2017-12-21

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

PHASE4

Total Enrollment

116 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-11-30

Study Completion Date

2016-07-31

Brief Summary

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Recovery of hunger is a source of comfort for patients after general anesthesia. Moreover, this aspect of post-operative period is often required for discharging patients from hospital after ambulatory surgery. Indeed, this item is part of a multi-parameter score (Chung score) whose validation evaluates patient's ability to return home.

The impact of anesthetics on hunger is largely unknown but few studies suggest an orexigenic effect of propofol compared to halogenated gases. These studies had neither the power nor the methodology to answer the question. The aim of our study is to evaluate the impact of propofol versus sevoflurane on early recovery of hunger after ambulatory surgery.

Detailed Description

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Conditions

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Ambulatory Surgery Anesthesia Energy Expenditure Food Intake

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Caregivers

Study Groups

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propofol

Hypnotic used in this arm is exclusively intra-venous propofol.

Group Type ACTIVE_COMPARATOR

propofol

Intervention Type DRUG

sevoflurane

Hypnotic used in this arm is exclusively inhaled sevoflurane.

Group Type ACTIVE_COMPARATOR

Sevoflurane

Intervention Type DRUG

Interventions

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propofol

Intervention Type DRUG

Sevoflurane

Intervention Type DRUG

Other Intervention Names

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diprivan, 2,6-bis(propan-2-yl)phénol Sevorane, 1,1,1,3,3,3-hexafluoro-2-(fluorométhoxy)propane

Eligibility Criteria

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Inclusion Criteria

* 18-45 years old women
* American Society of Anesthesiologists (ASA) score 1-2
* Affiliated to a social security system
* Undergoing an ambulatory surgery during more than 15 minutes with general anesthesia and control of upper airways (tracheal intubation or supraglottic mask or facial mask ventilation) for oocytes punction before in vitro fertilization
* General anesthesia occuring between 8 and 10 am with respect of pre-operative fasting rules
* APFEL risk score for nausea and vomiting ≤ 2/4
* Ability to understand and read french
* Signature of understood consent

Exclusion Criteria

* Other surgery than oocytes punction
* Cognitive dysfunction
* Undernutrition or risk factor of undernutrition (evolutive neoplasia, chronic alcoholism …)
* BMI ≥ 35 kg/m²
* Eating disorders
* Diabetes mellitus
* Chronic treatment with drugs modifying feeding behavior :

* Benzodiazepines
* Inhibitors of serotonin reuptake
* Others
* Non respect of pre-operative fasting rules
* Indication for rapid sequence induction (gastro-oesophageal reflux, absence of gastric emptying …)
* Contraindication to propofol (allergia to propofol, soybean or peanuts, past history of propofol infusion syndrome, unstable cardiovascular disease) or to sevoflurane (past history of malignant hyperthermia, epilepsy or liver disorders after administration of a halogenated anesthetic)
* Pregnant or breastfeeding woman
* Involvement in another clinical trial under 4 previous weeks
Minimum Eligible Age

18 Years

Maximum Eligible Age

45 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Centre Henri Becquerel

OTHER

Sponsor Role collaborator

University Hospital, Rouen

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Bertrand Dureuil, MD-PHD

Role: STUDY_CHAIR

Departement of Anesthesia, University Hospital, Rouen

Emmanuel BESNIER, MD

Role: PRINCIPAL_INVESTIGATOR

Departement of Anesthesia, University Hospital, Rouen

Locations

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Rouen University Hospital

Rouen, , France

Site Status

Countries

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France

References

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Besnier E, Perdrix A, Gillibert A, Selim J, Froemer B, Ghemired A, Berby B, Rives N, Dureuil B, Clavier T, Compere V. Postoperative hunger after outpatient surgery in patients anesthetized with propofol vs sevoflurane: a randomized-controlled trial. Can J Anaesth. 2020 May;67(5):550-559. doi: 10.1007/s12630-020-01584-w. Epub 2020 Jan 29.

Reference Type DERIVED
PMID: 31997087 (View on PubMed)

Other Identifiers

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2014/088/HP

Identifier Type: -

Identifier Source: org_study_id