Opioid Free Anesthesia in ENT Surgery

NCT ID: NCT04105946

Last Updated: 2022-08-19

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

UNKNOWN

Clinical Phase

NA

Total Enrollment

200 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-10-31

Study Completion Date

2023-12-31

Brief Summary

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Opioid Free Anesthesia (OFA) - which has been applied mainly in bariatric surgery - has begun to receive more and more attention and to obtain fanatical supporters versus conventional anesthesia. The advantages of this type of anesthesia are mainly achieved by the action and effect of the various drugs that compose it.

Functional Endoscopic Sinus Surgery is performed in cases where sinusitis or its complications are difficult to treat with medication. With special cameras and endoscopes, the narrow anatomical regions of the sinus can be depicted and precisely surgically approached. Usually surgery is conducted under general anesthesia. According to the literature, total intravenous anesthesia should be used for sinus surgery to achieve blood pressure control as well as controlled hypotension to prevent intraoperative bleeding. Most of the studies agree that the best type of anesthesia for this type of surgery is total intravenous anesthesia. When it comes to Opioid Free Anesthesia in FESS, there are not many studies, except of some studies that don't use solely Opioid Free Anesthesia but some of the drugs that consist it.

Patients scheduled for elective Functional Endoscopic Sinus Surgery will be randomised in two groups. One receiving OFA and one receiving TIVA.

Detailed Description

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Conditions

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Functional Endoscopic Sinus Surgery

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

TRIPLE

Participants Caregivers Outcome Assessors

Study Groups

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OFA Group

patients undergoing FESS under opiod free anesthesia

Group Type ACTIVE_COMPARATOR

Dexmedetomidine

Intervention Type DRUG

dexmedetomidine administration intraoperatively in combination with other drugs used in OFA

TIVA Group

patients undergoing FESS under total intravenous anesthesia

Group Type ACTIVE_COMPARATOR

Remifentanil

Intervention Type DRUG

remifentanil administration intraoperatively in combination with other drugs used in TIVA

Interventions

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Dexmedetomidine

dexmedetomidine administration intraoperatively in combination with other drugs used in OFA

Intervention Type DRUG

Remifentanil

remifentanil administration intraoperatively in combination with other drugs used in TIVA

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Patients 18 - 75 years old
* Elective FESS

Exclusion Criteria

1. Patients \< 18 or \>75 years of age
2. Patients who can't read of speak the Greek language
3. Patients with psychiatric disorders
4. Patients with atrioventricular block in ECG
5. Patients with musculoskeletal disorders
6. Patients with coronary artery disease
7. Patients uncapable of giving informed consent
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Thessaly

OTHER

Sponsor Role lead

Responsible Party

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Elena Arnaoutoglou

Professor of Anesthesiology

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Elena Arnaoutoglou, MD, PhD

Role: STUDY_CHAIR

University of Thessaly

Ioannis Chatzioannou, MD, PhD

Role: STUDY_DIRECTOR

University of Thessaly

Dimitra Papaspirou, MD

Role: PRINCIPAL_INVESTIGATOR

University Hospital of Larissa

Locations

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Univeristy of Thessaly

Larissa, Thessaly, Greece

Site Status

Countries

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Greece

Central Contacts

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Metaxia Bareka, MD, PhD

Role: CONTACT

+306947845083

Dimitra Papaspirou, MD

Role: CONTACT

+306982004382

Facility Contacts

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Eleni Arnaoutoglou, MD, PhD

Role: primary

2413501370

Dimitra Papaspirou

Role: backup

+306982004382

Other Identifiers

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OFA in ENT

Identifier Type: -

Identifier Source: org_study_id

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