TIVA Versus Desfluran Anaesthesia in Patients Undergoing Bariatric Surgery
NCT03727607 · Status: COMPLETED · Phase: PHASE2 · Type: INTERVENTIONAL · Enrollment: 160
Last updated 2018-11-01
Summary
Many factors during laparascopic surgery leads to PONV (postoperative nausea and vomiting), such as C02 insufflations causing peritoneal stretch and irritation and type of anaesthesia given during surgery.
The two anesthetic techniques used in bariatric surgery are gas anesthesia (Remifentanil TCI and Desfluran) and Total Intra Venous Anesthesia (TIVA) with propofol. There are studies which have shown a reduction in postoperative nausea and vomiting following TIVA, and there are publications showing no statistically significant difference.
The aim of this study was to investigate the best anaesthetic approach for obese subjects, evaluating awakening time, postoperative nausea and pain.
Our hypothesis was based on the fact that Propofol is a lipid-soluble anesthetic and therefore might have a prolonged effect in obese patients, leading to a longer awakening time along with postoperative nausea and vomiting. This hypothesis is also described earlier by obese patients have more depots (bulk fat) and also more fat surface making anaesthetics storage more easier, and also that the anesthetic will return into the circulation when the administration is stopped \[18\].
Conditions
- Total Intravenous Anesthesia
- Desflurane
- Obesity
- Pain, Postoperative
- Nausea, Postoperative
Interventions
- DRUG
-
Desflurane
Desflurane vs TIVA, bariatric surgery. Postoperative nausea and pain
Sponsors & Collaborators
-
Ostfold Hospital Trust
lead OTHER
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- SINGLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Max Age
- 80 Years
- Sex
- ALL
- Healthy Volunteers
- Yes
Timeline & Regulatory
- Start
- 2016-01-30
- Primary Completion
- 2017-12-11
- Completion
- 2018-03-14
More Related Trials
-
Effect of Opioid-free Analgesia and Anesthesia on the Quality of Postoperative Recovery and Nausea Vomit in Patients Receiving Laparoscopic Sleeve Gastrectomy
NCT06305221 ·Status: RECRUITING ·Phase: NA
-
Intraoperative Protective Ventilation for Obese Patients Undergoing Gynaecological Laparoscopic Surgery
NCT03157479 ·Status: COMPLETED ·Phase: NA
-
Midazolam Versus Dexamethasone-ondansetron in Preventing Postoperative Nausea-vomiting for Laparoscopic Surgeries
NCT03603119 ·Status: COMPLETED ·Phase: NA
-
Laparoscopic Cholecystectomy: General Anesthesia With Opioid Versus General Opioid Free Anesthesia
NCT02953210 ·Status: UNKNOWN ·Phase: PHASE4
-
Total Intravenous Anesthesia (TIVA) Versus Inhalational Anesthesia at The End of Laparoscopic Obstetric Surgery Regarding Postoperative Nausea and Vomiting
NCT07270289 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Sedation of Morbidly Obese for Balloon Insertion
NCT03747094 ·Status: UNKNOWN ·Phase: NA
-
Effect of Intraperitoneal Ropivacaine on Visceral Pain After Laparoscopic Gastrectomy
NCT06145945 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Comparison of Analgesic Efficacy and Occurrence of Emesis Among Different Background Infusion and Bolus Administration Regimens of Fentanyl Based Intravenous Patient-controlled Analgesia in Patients After Laparoscopic Assisted Gastrectomy - a Randomized Blind Study -
NCT01863355 ·Status: UNKNOWN ·Phase: NA
-
Comparison of Desflurane and Propofol on Quality of Recovery in Patients Undergoing Robotic or Laparoscopic Gastrectomy
NCT02515968 ·Status: WITHDRAWN ·Phase: NA
-
Effects of Ondansetron, Metoclopramide and Granisetron on Perioperative Nausea and Vomiting in Patients Undergone Bariatric Surgery
NCT05087615 ·Status: COMPLETED ·Phase: PHASE3
-
Comparison of Ropivacaine-Poloxamer 407 Hydrogel and TAP Block for Postoperative Pain Management in Laparoscopic/Robotic Gastrectomy
NCT06839716 ·Status: RECRUITING ·Phase: NA
-
Sevoflurane With or Without Intravenous Lidocaine Infusion Versus Propofol Anesthesia on Intracranial Pressure and Cerebral Oxygenation During Laparoscopic Hysterectomy
NCT07062367 ·Status: RECRUITING ·Phase: NA
-
Effect of Lidocaine Plus Dexmedetomidine Infusion on PONV
NCT03788018 ·Status: COMPLETED ·Phase: NA
-
Regional Anesthesia Versus General Anesthesia
NCT03830086 ·Status: COMPLETED ·Phase: NA
-
Comparison of TIVA (Total Intravenous Anesthesia) and TIVA Plus Palonosetron in Preventing Postoperative Nausea and Vomiting
NCT01478165 ·Status: COMPLETED ·Phase: NA
-
Intravenous Versus Intraperitoneal Instillation of Ondansetron for Decreasing Incidence of Nausea and Vomiting After Laparoscopic Gynecological Surgeries.
NCT05317611 ·Status: COMPLETED ·Phase: NA
-
Simethicone: Does it Improve Operative Field and Postoperative Pain?
NCT02984176 ·Status: COMPLETED ·Phase: PHASE4
-
Prevention of PONV With Traditional Chinese Medicine
NCT05375721 ·Status: UNKNOWN ·Phase: NA
-
Propofol Versus Sevoflurane Recovery After Gynecological Surgery
NCT01755234 ·Status: COMPLETED ·Phase: PHASE4
-
Postoperative Fatigue and Nausea Related to Choice of Anaesthetic Regimens
NCT01125982 ·Status: COMPLETED ·Phase: PHASE4
-
Laryngeal Mask in Upper Gastrointestinal Procedures
NCT03567928 ·Status: TERMINATED ·Phase: NA
-
Comparison of the Effects of Fentanyl, Oxycodone, Butorphanol on Gastrointestinal Function
NCT04295109 ·Status: UNKNOWN ·Phase: NA
-
Effects of Insufflated Gas on Core Temperature and Post-operative Pain During Laparoscopic Surgery
NCT00372268 ·Status: COMPLETED ·Phase: NA
-
Propofol-ketamine or Propofol-fentanyl for Procedural Sedation in the Short-term Gynecological Case
NCT06412861 ·Status: COMPLETED ·Phase: NA
-
Ropivacaine-Poloxamer 407 Gel for Pain Control After Open Gastrectomy
NCT06778954 ·Status: RECRUITING ·Phase: NA