Postoperative Analgesia Impact of Narcotic Free Anesthesia
NCT01544959 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 84
Last updated 2018-10-24
Summary
The first hypothesis of the study is that substituting fentanyl by esmolol and metoprolol during general anesthesia for patients undergoing mastectomy will result in less pain and less narcotic consumption in the recovery room. The investigators will also verify the impact of that substitution on nausea and vomiting, on the time spent in the recovery room and on chronic postsurgical pain (3 and 6 months).
Finally, the investigators will see the impact on breast cancer recurrence 5 years after the surgery.
Conditions
- Pain, Postoperative
- Breast Cancer
- Postoperative Nausea and Vomiting
Interventions
- DRUG
-
Use of esmolol and metoprolol compared to use of fentanyl for hemodynamic control during general anesthesia. At induction, fentanyl (2 mcg/kg) is replaced by esmolol (1 mg/kg). During the case, with a standardised anesthesia, response to surgical stimulation will be medicated either by fentanyl (50 mcg aliquot) or metropolol (2.5 mg), for a maximum of 6 doses. After this, fentanyl will be given unblindly.
- DRUG
-
beta-blocker (esmolol, metropolol)
esmolol is used at induction and lopressor during surgery instead of fentanyl in response to surgical stimulation.
Sponsors & Collaborators
-
Université de Sherbrooke
lead OTHER
Principal Investigators
-
Etienne de Medicis, MD MSc · Centre de recherche du Centre hospitalier universitaire de Sherbrooke
Study Design
- Allocation
- RANDOMIZED
- Purpose
- PREVENTION
- Masking
- QUADRUPLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Max Age
- 65 Years
- Sex
- FEMALE
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2010-01-31
- Primary Completion
- 2013-01-31
- Completion
- 2018-05-31
Countries
- Canada
Study Locations
More Related Trials
-
Effect of Morphine, Tramadol, and Ketorolac on Postoperative Stress and Immune Responses
NCT02449954 ·Status: UNKNOWN ·Phase: PHASE2/PHASE3
-
Multimodal Pain Treatment for Breast Cancer Surgery - a Prospective Cohort Study
NCT04875559 ·Status: COMPLETED
-
Analgesic Effect of Intraoperative Esmolol in Mastectomies
NCT02466542 ·Status: COMPLETED ·Phase: PHASE4
-
Administration of Ketamine to Prevent the Post-operative Pain
NCT00210210 ·Status: COMPLETED ·Phase: PHASE3
-
Radiofrequency Thoracic Sympathectomy for Chronic Postmastectomy Pain; Randomized Placebo Controlled Study
NCT03494426 ·Status: COMPLETED ·Phase: NA
-
Does Local Morphine Add to Local Anesthetics in Serratus Anterior Plane Block Has a System Analgesic Effect?
NCT02962024 ·Status: COMPLETED ·Phase: NA
-
Effectiveness of Nefopam in Breast Cancer Surgery
NCT02949310 ·Status: UNKNOWN ·Phase: NA
-
Speeding Recovery From Pain and Opioid Use
NCT03388814 ·Status: WITHDRAWN ·Phase: EARLY_PHASE1
-
Perioperative Systemic Acetaminophen to Improve Postoperative Quality of Recovery After Ambulatory Breast Surgery
NCT01852955 ·Status: COMPLETED ·Phase: NA
-
Paravertebral Morphine Versus Dexmedetomidine on Acute and Chronic Postmastectomy Pain
NCT02935933 ·Status: UNKNOWN ·Phase: PHASE1/PHASE2
-
Double-blind Study to Assess effectIveness of Pectoral Nerves Block After Breast Surgery on Piritramide Consumption
NCT02655965 ·Status: COMPLETED ·Phase: PHASE3
-
A Study to Reduce Persistent Post-mastectomy Pain Using Opioid-free Anesthesia
NCT05146778 ·Status: RECRUITING ·Phase: NA
-
Effect of Ketalar to Prevent Postoperative Chronic Pain After Mastectomy
NCT00129597 ·Status: UNKNOWN ·Phase: PHASE4
-
Impact of Regional Anesthesia on Chronic Post-operative Pain
NCT05876390 ·Status: ENROLLING_BY_INVITATION
-
Prevention of Post Mastectomy With Intraoperative Ketamine
NCT03090776 ·Status: ACTIVE_NOT_RECRUITING ·Phase: EARLY_PHASE1
-
Nociception Level Monitor (NOL) During Guided Analgesic Delivery in Breast Surgeries
NCT05546021 ·Status: COMPLETED ·Phase: NA
-
Erector Spina Plane Block Versus Deep Serratus Anterior Plane Block for Post Mastectomy Analgesia
NCT04108715 ·Status: COMPLETED ·Phase: NA
-
The Effects of Anesthetics on Persistent Pain Following Breast Cancer Surgery
NCT03782896 ·Status: COMPLETED
-
Effect of Infusion of Lidocaine, Magnesium and Remifentanil Perioperatively in Patients Undergoing Mastectomy
NCT02309879 ·Status: COMPLETED ·Phase: PHASE4
-
Postoperative Analgesia Intervention With Non-opioid Alternatives (PAIN-Alt) Trial - Breast Surgery
NCT06507345 ·Status: RECRUITING ·Phase: NA
-
Fentanyl Ultra Low Doses Effects on the Nociceptive Threshold
NCT00454259 ·Status: COMPLETED ·Phase: PHASE4
-
The Efficacy of Tianeptine Versus Pregabalin on Acute and Chronic Post Mastectomy Pain After Breast Cancer Surgery.
NCT05935059 ·Status: COMPLETED ·Phase: NA
-
Efficacy of Ketamine Added to Local Anesthetic in Modified Pectoral Block for Management of Postoperative Pain
NCT02620371 ·Status: COMPLETED ·Phase: PHASE3
-
Prospectively Assessing Pain After Breast Surgery
NCT05210400 ·Status: UNKNOWN
-
Analgesic Effects of Ultrasound Guided PEC Blocks on Analgesic Opioid Consumption of Cancer Surgery Patients
NCT02495363 ·Status: COMPLETED