Opioid-based Versus Opioid-free Endotracheal Intubation

Status Recruiting

Clinical Trial Summary

The aim of this study will be to investigate the effect of opioid-free induction versus opioid-based induction on hemodynamic response and nociception level index during elective operations

Clinical Trial Description

Laryngoscopy and intubation stimuli can cause a sustained sympathetic response manifested as hypertension and tachycardia. Therefore, preadministration of opioid medication aiming at blunting this hemodynamic response is common in everyday anesthetic practice. Opioid-based anesthesia is associated with side-effects, such as respiratory depression, postoperative nausea and vomiting and occasional induction of tolerance and hyperalgesia. Research in recent years has focused on the quest for non-opioid-based regimens (opioid-sparing and opioid-free techniques). Most of the relevant studies however focus on the advantages that opioid-free techniques bear on early and late postoperative patient recovery. Literature on the effect of opioid-free techniques especially on laryngoscopy, intubation and subsequent hemodynamic response. Therefore, the aim of this study will be the comparison of the hemodynamic response to laryngoscopy and intubation between two groups of patients: a group in which opioid medications will be administered before anesthetic induction and a group in which a combination of lidocaine, dexmedetomidine and ketamine will be administered before anesthetic induction. ;

Study Design

Related Conditions & MeSH terms

Clinical Trial Details

NCT number	NCT06464393
Study type	Interventional
Source	Aretaieion University Hospital
Contact	Kassiani Theodoraki, PhD, DESA
Phone	+306974634162
Email	ktheodoraki@hotmail.com
Status	Recruiting
Phase	N/A
Start date	March 20, 2024
Completion date	March 20, 2025

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