Automatic Remifentanil Administration Guided by ANI During Propofol Anesthesia
NCT03556696 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 52
Last updated 2026-02-20
Summary
Prospective Randomized Monocentric Clinical Trial during propofol anesthesia. The aim of the study is to test whether the use of a medical device designed to automatically administer remifentanil during surgery based on expert rules and continuous reading of heart rate, blood pressure and the Analgesia Nociception Index results in lower overall remifentanil administration versus standard practice.
Conditions
- Nociceptive Pain
- Surgical Procedure, Unspecified
Interventions
- DEVICE
-
ANI-REMI-loop
experimental medical device using expert rules and continuous reading of heart rate, blood pressure and Analgesia Nociception Index for automatic remifentanil administration
- DEVICE
-
remifentanil pK/pD target administration device
standard practice, remifentanil administration using Minto's pK/pD model
- DRUG
-
Remifentanil
Remifentanil Ce target can range from 0 to 10 ng.ml-1. Remifentanil target is adapted in order to maintain Analgesia Nociception Index (MDMS, Loos, France) in the \[50-70\] range.
- DRUG
-
Propofol
propofol is used for induction and maintenance of general anesthesia using Schnider pK/pD model. Propofol Ce target is adapted in order to maintain BiSpectral Index in \[40-60\] range
- DEVICE
-
ANI monitor
ANI (Analgesia Nociception Index) value is used in the "std\_practice" arm for guidance of the remifentanil Ce target
Sponsors & Collaborators
-
University Hospital, Lille
lead OTHER
Principal Investigators
-
Mathieu JEANNE, MD,PhD · University Hospital, Lille
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- SINGLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Max Age
- 75 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2018-06-27
- Primary Completion
- 2022-06-14
- Completion
- 2022-11-22
Countries
- France
Study Locations
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