Comparative Study of Opioid-Free Anesthesia Versus Opioid Anesthesia in Patients Undergoing Laparoscopic Cholecystectomy
NCT06736496 · Status: NOT_YET_RECRUITING · Phase: PHASE4 · Type: INTERVENTIONAL · Enrollment: 100
Last updated 2024-12-16
Summary
Laparoscopic cholecystectomy is an effective surgical approach for the treatment of gallbladder disorders such as cholecystitis, gallbladder stones or gallbladder polyps. Although the surgical technique for the treatment of cholecystitis with laparoscope shows some gains compared to open surgery, postoperative complications such as abdominal incision pain, nausea and vomiting, or other complications are still challenging issues.
Thus, there is a need to study and evaluate new non-opioid pain medications after laparoscopic cholecystectomy as part of an opioid reduction strategy.the aim of the study is To compare the effectiveness and safety of opioid-free anesthesia versus opioid-based anesthesia in patients undergoing laparoscopic cholecystectomy, focusing on pain management, postoperative recovery, and incidence of adverse effects.
Conditions
- Laparoscopic Cholecystectomy
Interventions
- DRUG
-
Nalbuphine
patients will receive : nalbuphine administered at a dose of 0.2 mg / kg IV bolus dose before induction and intermittent doses of 0.5 mg/kg if MAP and HR greater than 20% of the base line value.
- DRUG
-
Dexmedetomidine
patients will receive : Dexmedetomidine infusion at rate of 0.5mcg/kg/h initiated 10 min before induction and ketamine iv bolus dose of 0.35 mg/kg and Lidocaine iv bolus dose of 1mg/kg administrated before skin incision.
Sponsors & Collaborators
-
Assiut University
lead OTHER
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- QUADRUPLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Max Age
- 65 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2025-01-01
- Primary Completion
- 2026-01-01
- Completion
- 2026-03-01
- FDA Drug
- Yes
More Related Trials
-
Comparative Study Between Intrathecal (Dexmedetomidine Versus Fentanyl)
NCT06970574 ·Status: COMPLETED ·Phase: NA
-
Opioid-based Versus Opioid-free Anaesthesia for Laparoscopic Cholecystectomy
NCT06476600 ·Status: COMPLETED ·Phase: NA
-
Quality of Recovery After Laparoscopic Cholecystectomy Comparing Opioid Free Analgesia Versus Opioid Free Anesthesia
NCT06343753 ·Status: COMPLETED ·Phase: NA
-
Comparison Between Dexmedetomidine and Fentanyl As an Adjuvant to Bupivacaine in the Paravertebral Nerve Block in Laparoscopic Cholecystectomy for Postoperative Analgesia: Randomized Comparative Clinical Trial.
NCT06752629 ·Status: NOT_YET_RECRUITING ·Phase: PHASE4
-
Adding Magnesium Sulfate or Dexmedetomidine to Bupivacaine in Oblique Subcostal Tap Block for Laparoscopic Cholecystectomy: A Randomized Double -Blind Controlled Study
NCT06743919 ·Status: COMPLETED ·Phase: PHASE4
-
Analgesia After Laparoscopic Cholecystectomy
NCT04715165 ·Status: UNKNOWN ·Phase: PHASE2
-
Dexamethasone/ Erector Spinae Plane Block Analgesia in Laparoscopic Cholecystectomy
NCT05105997 ·Status: UNKNOWN ·Phase: PHASE2
-
Intraperitoneal Dexamethasone vs Dexamethasone Plus Magnesium Sulphate for Pain Relief in Laparoscopic Cholecystectomy
NCT03643666 ·Status: UNKNOWN ·Phase: PHASE3
-
Analgesic Efficacy of Adding Dexmedetomidine to Erector Spinae Plane Block Versus Subcostal Transverse Abdominis Plane Block in Laparoscopic Cholecystectomy
NCT07075913 ·Status: COMPLETED ·Phase: NA
-
Ondansetron Effect on Pain Relief After Laparoscopic Cholecystectomy
NCT04468685 ·Status: COMPLETED ·Phase: PHASE2
-
Dexmedetomidine Infusion as an Analgesic Adjuvant During Laparoscopic Cholecystectomy
NCT03211871 ·Status: UNKNOWN ·Phase: PHASE3
-
Comparison of the Efficacy and Safety of NALDEBAIN With Conventional Treatment After Laparoscopic Cholecystectomy
NCT03713216 ·Status: COMPLETED ·Phase: PHASE4
-
External Oblique Intercostal Plane Block vs. Transversus Abdominis Plane Block for Laparoscopic Cholecystectomy
NCT05632991 ·Status: COMPLETED ·Phase: NA
-
Opioid Free Anaesthesia Versus Opioid Based Anesthesia for Laparscopic Cholecystectomy
NCT06231992 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
EOIB for Laparoscopic Cholecystectomy
NCT06656299 ·Status: RECRUITING ·Phase: NA
-
Postoperative Analgesic Efficacy of Recto Intercostal Nerve Block
NCT07003698 ·Status: COMPLETED ·Phase: NA
-
Effect of Preemptive Ibuprofen and Dexketoprofen in Patients Undergoing Laparoscopic Cholecystectomy
NCT03607266 ·Status: COMPLETED
-
Early Laparoscopic Cholecystectomy Versus Percutaneous Cholecystostomy in Grade II Acute Cholecystitis Guidelines
NCT04979936 ·Status: COMPLETED ·Phase: NA
-
Comparison of OSTAP and EOIP Blocks in Laparoscopic Cholecystectomies
NCT06172465 ·Status: COMPLETED ·Phase: NA
-
Comparison of Ultrasound-Guided Quadratus Lumborum Plane Block Versus Intraperitoneal and Periportal Bupivacaine Infiltration in Postoperative Analgesia After Laparoscopic Cholecystectomy
NCT06721039 ·Status: COMPLETED ·Phase: NA
-
Two Approaches of Transversus Abdominis Block (TAP ) in Laparoscopic Cholecystectomy
NCT05946733 ·Status: COMPLETED ·Phase: NA
-
Peritoneal Lavage Using Saline or Saline With Ondansetron for Pain Control After Laparoscopic Cholecystectomy
NCT06632184 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE4
-
Evaluation of the Interest of the Instillation of Saline Intraperitoneally (INSI ) Versus Instillation of Naropin the Surgical Site Versus Lung Recruitment Maneuvers ( PVM ) in the Management of Pain After Laparoscopic Cholecystectomy in Ambulatory Care
NCT02819544 ·Status: WITHDRAWN ·Phase: PHASE3
-
Optimal Multimodal Analgesia in Laparoscopic Cholecystectomy
NCT00209885 ·Status: UNKNOWN ·Phase: PHASE4
-
Postoperative Pain Management in Laparoscopic Cholecystectomies
NCT06326281 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA