Dual-Loop Target Controlled Infusion in Laparoscopic Cholecystectomy

Status Completed

Clinical Trial Summary

Laparoscopic Cholecystectomy applied to Artificial pneumoperitoneum and the extent of Surgical stimulation cause the wave of hemodynamics increase vigorously, which make it difficult to judge the depth of anesthesia according to traditional hemodynamics index such as heart rate and blood pressure.In case of this, the investigators design this research to study the Closed-Loop Target Controlled Infusion to anaesthesia of individualization guided by a Narcotrend index monitor in Laparoscopic Cholecystectomy.

Clinical Trial Description

Anesthetics alter electrocortical activity in a dose-dependent manner,and it is suggested that electroencephalographic(EEG)activity can provide a reliable basis for a surrogate measurement of hypnosis.An EEG monitor,the Narcotrend Index(NI),has proven useful to titrate hypnotic drugs.Because it is a single composite measure monitored continuously,it has been used in controlled studies to automatically guide propofol administration.Conversely,automated delivery systems for opioids have seldom been described using EEG activity There are no specific measures to quantify analgesia directly.Nevertheless,in the interaction between opioid-hypnotic synergy and loss of consciousness,when the dose of analgesic administered is sufficient to inhibit autonomic response to noxious stimuli,then the required hypnotic concentration is only that needed to achieve loss of consciousness.Moreover,a noxious stimulus such as laryngoscopy or periosteal pressure to the tibia may cause electrocortical activation with an increase in Narcotrend index,which indirectly reflects the analgesic state or the level of antinociception.Finally,an excitatory EEG arousal reaction resulting from nociceptive stimulation can provide a rational basis for analgesia administration.It can then be hypothesized that Narcotrend index could also be the controlled variable for opioid administration. ;

Study Design

Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Supportive Care

Related Conditions & MeSH terms

Clinical Trial Details

NCT number	NCT02116985
Study type	Interventional
Source	Guangzhou General Hospital of Guangzhou Military Command
Contact
Status	Completed
Phase	Phase 4
Start date	November 2013
Completion date	October 2014

View Details

See also
Status	Clinical Trial	Phase
Terminated	`NCT01552421` - The Effect of Transvaginal vs. Conventional Laparoscopic Cholecystectomy on the Postoperative Course	N/A
Completed	`NCT01056250` - SILS Cholecystectomy: Cholangiography of the Biliary Tract	N/A
Completed	`NCT00974194` - Safety and Cost-effectiveness Study of Single Port Laparoscopic Cholecystectomies	N/A
Completed	`NCT00940264` - Laparoscopic Transvaginal Hybrid Cholecystectomy: a Prospective Data Collection.	N/A
Completed	`NCT00370344` - Small-incision Open Cholecystectomy or Laparoscopic Cholecystectomy for Gallbladder Disease	Phase 2/Phase 3
Recruiting	`NCT06045546` - A (5-5-5-8) Technique for Laparoscopic Cholecystectomy	N/A
Recruiting	`NCT06036303` - Nasr Fascial Closure: A Novel Device for Fascial Closure in Laparoscopic Surgery	N/A
Recruiting	`NCT06035302` - Madany Closure: A Novel Technique for Fascial Closure in Laparoscopic Surgery	N/A
Completed	`NCT01824186` - Trial Comparing Pain in Single-incision Laparoscopic Cholecystectomy Versus Conventional Laparoscopic Cholecystectomy	N/A
Not yet recruiting	`NCT00209885` - Optimal Multimodal Analgesia in Laparoscopic Cholecystectomy	Phase 4
Completed	`NCT00161083` - UDCA for Symptomatic Gallstone Disease	Phase 4
Recruiting	`NCT05280860` - Effect of Bilateral RSB on Postoperative Delirium in Elderly Patients Undergoing Laparoendoscopic Single-site Surgery	N/A
Completed	`NCT04142203` - Implementation of 23 Hour Surgery Model in a Tertiary Hospital
Completed	`NCT03154164` - Study on the Learning Curve for Fundus First With Ultrasonic Tissue Coagulation in Elective Cholecystectomy
Recruiting	`NCT03812718` - Comparison of Anaesthesia Requirement for Ventilation With Endotracheal Tube Versus Proseal Laryngeal Mask Airway	N/A
Recruiting	`NCT02114437` - Closed-Loop Target Controlled Infusion in Laparoscopic Cholecystectomy	Phase 4
Completed	`NCT01553331` - Day Case Laparoscopic Cholecystectomy: Fundus First With Ultrasonic Dissection or Conventional Diathermy Hook	N/A
Recruiting	`NCT03909360` - Drainage or Not for Laparoscopic Cholecystetomy	N/A
Recruiting	`NCT05962853` - Effect of TENS on Patient Outcomes After Laparoscopic Cholecystectomy: A Randomized Controlled Study	N/A
Recruiting	`NCT05723224` - Elective Endoscopic Gallbladder Treatment: Pilot Study	N/A

Clinical trials are conducted in a series of steps, called phases - each phase is designed to answer a separate research question.

Phase 1: Researchers test a new drug or treatment in a small group of people for the first time to evaluate its safety, determine a safe dosage range, and identify side effects.
Phase 2: The drug or treatment is given to a larger group of people to see if it is effective and to further evaluate its safety.
Phase 3: The drug or treatment is given to large groups of people to confirm its effectiveness, monitor side effects, compare it to commonly used treatments, and collect information that will allow the drug or treatment to be used safely.
Phase 4: Studies are done after the drug or treatment has been marketed to gather information on the drug's effect in various populations and any side effects associated with long-term use.

Dual-Loop Target Controlled Infusion in Laparoscopic Cholecystectomy (DLTCI) — DLTCI

Clinical Trial Summary

Clinical Trial Description

Study Design

Related Conditions & MeSH terms