Administration of Acetazolamide to Prevent Remifentanil Induced Hyperalgesia
NCT02992938 · Status: COMPLETED · Phase: PHASE4 · Type: INTERVENTIONAL · Enrollment: 50
Last updated 2018-12-31
Summary
Remifentanil is a potent opioid widely used during the administration of general anesthesia. There is a lot of evidence that suggest that the used of remifentanil is associated with the development of hyperalgesia (a reduction of nociceptive thresholds). However, the mechanism of this hyperalgesia is not fully understood.
Recently, it was demonstrated that the disruption of the Cl- homeostasis could be involved. Interestingly, this was prevented in a murine model with the administration of Acetazolamide, a carbonic anhydrase inhibitor. In our clinical trial we will try to determine if the preoperative administration of acetazolamide could prevent the hyperalgesia induced by remifentanil in patients scheduled for thyroidectomy with general anesthesia.
Conditions
- Hyperalgesia
- Opioid-Related Disorders
Interventions
- DRUG
-
Acetazolamide
- DRUG
-
Placebo Oral Tablet
Sponsors & Collaborators
-
University of Chile
lead OTHER
Principal Investigators
-
Rodrigo Gutierrez, MD · Anesthesia Department, University of Chile
-
Antonello Penna, MD PhD · Anesthesia Department, University of Chile
Study Design
- Allocation
- RANDOMIZED
- Purpose
- PREVENTION
- Masking
- QUADRUPLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2016-12-31
- Primary Completion
- 2018-09-28
- Completion
- 2018-09-28
Countries
- Chile
Study Locations
More Related Trials
-
Pain Control After Cardiac Surgery Using Intravenous Acetaminophen
NCT01822821 ·Status: COMPLETED ·Phase: NA
-
Effect of Remifentanil on the Recovery Profile After Prolonged Head and Neck Surgery
NCT02416752 ·Status: COMPLETED
-
Remifentanil and Hyperalgesia: Gradual Withdrawal Versus Immediate Discontinuation
NCT03110653 ·Status: COMPLETED ·Phase: NA
-
Efficacy and Safety Studies of Oliceridine Fumarate
NCT06454292 ·Status: NOT_YET_RECRUITING ·Phase: PHASE4
-
Comparison of Postoperative Nociception Between NOL-guided and Standard Intraoperative Analgesia Based on Fentanyl
NCT03858621 ·Status: COMPLETED ·Phase: NA
-
QUALITY OF RECOVERY AFTER INTRAOPERATIVE MORPHINE OR METHADONE
NCT03045133 ·Status: COMPLETED ·Phase: PHASE4
-
Analgesia-Nociception Index Guided Intraoperative Remifentanil Administration Versus Standard Practice:Evaluation of Perioperative Opioid Use
NCT03498820 ·Status: COMPLETED ·Phase: NA
-
Effect of Butorphanol Combined With Flurbiprofen Axetil on Preventing Hyperalgesia Induced by Remifentanil in Patients
NCT02043366 ·Status: COMPLETED ·Phase: NA
-
Effect of Intraoperative Nefopam on Acute Pain After Remifentanil Based Anesthesia
NCT02493231 ·Status: UNKNOWN ·Phase: PHASE4
-
Postoperative and Opioid Free Anesthesia
NCT03316339 ·Status: TERMINATED ·Phase: PHASE3
-
Comparison of Adverse Drug Reactions Associated for Oxycodone and Morphine in Postoperative Pain After Abdominal Hysterectomy
NCT02936934 ·Status: UNKNOWN ·Phase: PHASE4
-
A Comparative Study Between Analgesic Effect of Opioid Free and Opioid Based Anesthesia in Radical Nephrectomy Surgery
NCT05312541 ·Status: UNKNOWN ·Phase: NA
-
The Effect of High-dose Remifentanil on Established Capsaicin-induced Hyperalgesia in Human Volunteers
NCT00886106 ·Status: UNKNOWN ·Phase: PHASE4
-
Prevention of Remifentanil-induced Postoperative Hyperalgesia With Intravenous Ibuprofen
NCT02243254 ·Status: COMPLETED ·Phase: NA
-
Postoperative Pain After Orthopedic Surgery: Does it Help to Give Fentanyl Before Start of Remifentanil Based Anesthesia?
NCT00241332 ·Status: COMPLETED ·Phase: PHASE3
-
Fentanyl Ultra Low Doses Effects on the Nociceptive Threshold
NCT00454259 ·Status: COMPLETED ·Phase: PHASE4
-
Prediction of Postoperative Pain by Nociception Monitoring
NCT05063227 ·Status: COMPLETED
-
Drip-infusion of Remifentanil for RIH
NCT04387097 ·Status: COMPLETED
-
Comparison of the Efficacy of Intraperitoneal Instillation of Fentanyl Versus Nalbuphine As Adjuvants to Bupivacaine for Postoperative Pain Relief in Patients Undergoing Laparoscopic Cholecystectomy
NCT06722963 ·Status: NOT_YET_RECRUITING ·Phase: PHASE4
-
Evaluation of the Effect of Ketamine on Remifentanil-induced Hyperalgesia
NCT01301079 ·Status: COMPLETED ·Phase: PHASE3
-
Remifentanil vs Fentanyl During Cardiac Surgery and Chronic Thoracic Pain
NCT02031016 ·Status: COMPLETED ·Phase: PHASE4
-
Ketamine, Lidocaine and Combination for Postoperative Analgesia in Open Liver Resection
NCT03391427 ·Status: COMPLETED ·Phase: NA
-
Comparison of Remifentanil-induced Postoperative Hyperalgesia Between Patients From Plain Area and Plateau Area
NCT05028049 ·Status: UNKNOWN
-
Prevention of Hyperalgesia With Epidural Morphine
NCT03225690 ·Status: UNKNOWN ·Phase: PHASE4
-
Techniques for Perioperative Analgesia for Live Liver Donors; A Pilot Study
NCT03393988 ·Status: UNKNOWN ·Phase: PHASE4