CompletedNot Applicable

The Use of Surgical Pleth Index in Guiding Anesthesia in Gastroenterological Surgery

Finland80 participantsStarted 2020-09-09

Plain-language summary

Surgical Pleth Index (SPI) is an intraoperative monitor aimed into detection of nociception and guidance of intraoperative opioid administration. Using such a device opioid administration could be potentially optimized during intraoperative period. this study will aim to show whether SPI could be used to reduce unwanted events and lower opioid consumption in gastroenterological surgery. The study will be blinded and randomized including two study arms with either SPI monitoring included or standard monitoring alone.

Who can participate

Age range50 Years

SexALL

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AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.

Inclusion Criteria: * Able to provide a written informed consent * Age 50 years or above * Laparoscopic or laparotomic surgery requiring intubation with an expected intraoperative time at least two hours. * ASA classification 1-3 Exclusion Criteria: * Implanted cardiac pacemaker or known condition with irregular heart rate at the time of inclusion or induction * Chronic use of opioids * BMI \>35 * Known allergy for study medications * Over 5 extrasystoles per minute at the time of induction or inclusion * The use of epidural catheter during the last one hour before surgery or need for catheter intraoperatively (if new catheter is placed at the beginning of surgery test dosage may be used without the need for patient exclusion)

What they're measuring

Intraoperative remifentanil consumption

Timeframe: intraoperative time

Trial details

NCT IDNCT04519203

SponsorTampere University Hospital

Sponsor typeOTHER

Study typeINTERVENTIONAL

Primary completion2021-11-01

View on ClinicalTrials.gov More Intraoperative Complications trials