Effects of Nefopam on Hyperalgesia After Cardiac Surgery
NCT00413257 · Status: COMPLETED · Phase: PHASE2/PHASE3 · Type: INTERVENTIONAL · Enrollment: 90
Last updated 2010-05-28
Summary
Postoperative pain after major surgery is consecutive not only to the nociceptive inputs coming from the surgical lesion, but also to peripheral and central neuronal sensitization. This lead to postoperative hyperalgesia and allodynia that are enhanced by the per operative use of high opioid doses. Anti-NMDA drugs have been reported as able to reduce this sensitization process and then to decrease acute morphine tolerance during the postoperative period. Nefopam has been lately shown to combine in experimental trials analgesic and anti hyperalgesic effects. The aim of this study is to compare anti-hyperalgesic effects of nefopam given either before incision and continuously for the following 48hours or starting from the end of the surgery and given for 48hours to a control group that would receive placebo for 48hours. Postoperative analgesia will be based on morphine PCA. Pain scores, hyperalgesia, allodynia, postoperative morphine consumption, and development of chronic pain will be the main criteria that will be evaluated during this study
Conditions
- Hyperalgesia
- Pain, Postoperative
- Pain, Chronic Disease
Interventions
- DRUG
-
Nefopam
0,3mg/kg IV bolus preoperative and 65 µg/kg/h during H48 postoperative
- DRUG
-
néfopam
bolus Néfopam (0,3mg/kg) during 10 min at the end of surgery and 65 µg/kg/h during postoperative H48
- DRUG
-
Placebo comparator
bolus NaCl during 10 min at the end of surgery and during postoperative H48
Sponsors & Collaborators
-
University Hospital, Bordeaux
lead OTHER
Principal Investigators
-
Philippe RICHEBE, Dr · University Hospital, Bordeaux
-
Antoine BENARD, Dr · University Hospital, Bordeaux
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- TRIPLE
- Model
- PARALLEL
Eligibility
- Min Age
- 55 Years
- Max Age
- 75 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2006-12-31
- Primary Completion
- 2007-12-31
- Completion
- 2008-11-30
Countries
- France
Study Locations
More Related Trials
-
The Preemptive Analgesic Efficacy of Nefopam
NCT02561468 ·Status: COMPLETED ·Phase: NA
-
Effectiveness of Nefopam in Breast Cancer Surgery
NCT02949310 ·Status: UNKNOWN ·Phase: NA
-
Multimodal Analgesia Versus Traditional Opiate Based Analgesia
NCT03521167 ·Status: UNKNOWN ·Phase: NA
-
Effect of Nefopam on Acute Postoperative Pain in Patients Undergoing Orthognathic Surgery
NCT01461031 ·Status: COMPLETED ·Phase: NA
-
Multimodal Analgesia Strategies After Major Shoulder Ambulatory Surgery
NCT04110665 ·Status: COMPLETED ·Phase: PHASE4
-
Gabapentin for Postoperative Pain Management After Cardiac Surgery With Median Sternotomy
NCT00572208 ·Status: UNKNOWN ·Phase: NA
-
Nefopam vs Tramadol in the Prevention of Post Anaesthetic Shivering
NCT02441673 ·Status: UNKNOWN ·Phase: PHASE2
-
The Efficacy of Postoperative Analgesia of Gabapentin Plus Nefopam in the Spinal Surgery
NCT04491786 ·Status: COMPLETED ·Phase: NA
-
Effect of Intraoperative Nefopam on Acute Pain After Remifentanil Based Anesthesia
NCT02493231 ·Status: UNKNOWN ·Phase: PHASE4
-
Multimodal Versus Opioid aNalgesia in carDiAc Surgery
NCT04987372 ·Status: COMPLETED ·Phase: PHASE4
-
A Comparison of Nefopam-propacetamol Combination and Propacetamol for Postoperative Quality of Recovery After Laparoscopic Nephrectomy
NCT01833728 ·Status: COMPLETED ·Phase: NA
-
Tapentadol Versus Tramadol Analgesia Post Cardiac Surgery
NCT04718116 ·Status: UNKNOWN ·Phase: NA
-
Early and Late Effects of Nefopam in Multimodal Analgesia After Total Hip Arthroplasty (NEFARTHRO)
NCT06349798 ·Status: NOT_YET_RECRUITING ·Phase: PHASE3
-
Interest of the Nefopam and PCA Morphine Combination for Postoperative Analgesia in Patients Undergoing Colon Surgery
NCT03619538 ·Status: COMPLETED ·Phase: NA
-
Oral Pregabalin as Preemptive Analgesia in Abdominal Hysterectomy
NCT04495374 ·Status: TERMINATED ·Phase: PHASE4
-
Analgesic Effectiveness of Nefopam in Patients Undergoing Anterior Cervical Spine Surgery
NCT03955705 ·Status: UNKNOWN ·Phase: NA
-
Postoperative Analgesic Effect of Nefopam
NCT02561494 ·Status: COMPLETED ·Phase: NA
-
Fentanyl Ultra Low Doses Effects on the Nociceptive Threshold
NCT00454259 ·Status: COMPLETED ·Phase: PHASE4
-
Effectiveness of Nefopam for Thermoregulation During Surgery
NCT03122665 ·Status: COMPLETED ·Phase: NA
-
Effects of Continuous Infusion of Intravenous Nefopam on Postoperative Pain and Opioid Consumption After VATS
NCT04450355 ·Status: COMPLETED ·Phase: NA
-
Nefopam for Post Video-Assisted Thoracoscopic Lobectomy
NCT04241640 ·Status: COMPLETED ·Phase: PHASE4
-
Morphine Added to Ropivacaine for FICB for Postoperative Analgesia
NCT03875274 ·Status: COMPLETED ·Phase: PHASE4
-
Remifentanil and Hyperalgesia: Gradual Withdrawal Versus Immediate Discontinuation
NCT03110653 ·Status: COMPLETED ·Phase: NA
-
Nefopam as a Multimodal Analgesia for Thoracic Surgery
NCT05173337 ·Status: COMPLETED ·Phase: NA
-
Multimodal Perioperative Pain Management: ComfortSafe Program
NCT04046068 ·Status: UNKNOWN