Impact of NOL Index Intraoperative Guided Remifentanil Analgesia

Abdominal Surgery Clinical Trial

— Eu-MultiNOL  

Official title:

Impact of Nociceptive-Level (NOL) Intraoperative Guided Remifentanil Analgesia Versus Standard Clinical Care (SCC) for Elective Major Abdominal Surgery

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT04402242
• Other study ID #: 2019_0051
• Status: Recruiting
• Phase: N/A
• Start date: April 13, 2021
• Est. completion date: May 2025

Study information

• Verified date: June 2023
• Source: Hopital Foch
• Contact: Morgan LE GUEN, Dr
• Phone: +33146252998
• Email: m.leguen[@]hopital-foch.com
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The Physiological Monitoring Device (PMD-200™) system is comprised of a monitor and a designated finger probe containing 4 sensors. The sensors included are Photoplethysmography (PPG), Galvanic Skin Response (GSR), Accelerometer for movement (ACC) and Thermistor for peripheral temperature (TMP). The PMD-200 is intended to be used for assessing the nociception level in anesthetized patients. The purpose of the study is confirmation of a reduction in the dosage of remifentanil allowed by the monitoring of nociception by the NOL which could open the way to a double control of the administration of anesthetic agents: control of the administration of hypnotics by the bispectral index (BIS) and control of the administration of opiate by the NOL.

Description:

The PMD-200 continuous pain monitor is intended to be used for assessing changes in pain levels. The system monitors the physiological responses to pain using a relative pain index from 0-100, called the Nociception Level (NOL®) index. In the NOL index, 0 represents no nociception or pain and 100 represents high nociception or pain level. The PMD-200 system consists of a monitor and a specific finger probe containing 4 sensors. The sensors included are Photoplethysmography (PPG), Galvanic Skin Response (GSR), Accelerometer for movement (ACC) and Thermistor for peripheral temperature (TMP). The PMD-200™ is intended to be used for assessing the nociception level in anesthetized patients. The device is European Conformity (CE) marked and commercially available. Meier et al. recently published a randomized trial involving 80 patients for major abdominal surgery, one group receiving routine care and the other NOL-guided analgesia. In the latter group, the remifentanil concentration was reduced when NOL values were below 10 or increased when NOL values were above 25 for at least 1 minute. In both groups, propofol was titrated to have bispectral index values between 45 and 55. Remifentanil administration was reduced in the NOL-guided group: 0.119 ± 0.033 vs 0.086 ± 0.032 μg.kg.min (p < 0.001). In the NOL- guided group, 2 out of 40 (5%) patients had hypotension (mean blood pressure less than 55 mm Hg) compared to 11 out of 40 (28%) in the control group (p = 0.006) and 16 out of 40 (40%) patients received vasoactive drugs vs 25 out of 40 (63%) (p = 0.044). Previous results cover a small number of patients treated in a single center. The purpose of this study is to confirm this result within a multicenter study involving a larger group of patients. Confirmation of a reduction in the dosage of remifentanil allowed by the monitoring of nociception by the NOL will open the way to a double control of the administration of anesthetic agents: control of the administration of hypnotics by the bispectral index (BIS) and control of the administration of opiate by the NOL.

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 210
• Est. completion date: May 2025
• Est. primary completion date: May 2025
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• Age = 18 years old
• American Society of Anesthesiologists score (ASA) I, II or III stable
• Laparotomy or laparoscopy for major, planned, digestive, urological or gynecological surgery under total intravenous anesthesia (expected total duration > 90 minutes)
• Having sign an informed consent form prior to any study specific procedure
• Being covered by a national health insurance

Non-Inclusion Criteria:

• Pregnancy/lactation
• Patient with antiarrhythmic agents
• Patient with Central nervous system disorder
• Patient with veinous approach difficulties
• Patient at risk of difficult mask ventilation or difficult intubation
• Concomitant use of any type of anesthesia other than general anesthesia (epidural anesthesia, spinal anesthesia, wall block, pericatricial infiltration). Wall blocks and pericatricial infiltrations are allowed if they are carried out at the end of the intervention
• Allergy or intolerance to any of the study drugs
• Patient not understanding French language
• Being deprived of liberty or under guardianship

Exclusion Criteria:

• Patient requiring the administration of succinylcholine
• Patient with hemodynamic abnormality just before induction of anesthesia (mean arterial pressure < 65 mm Hg or > 110 mm Hg, heart rate < 45/min or > 90/min
• Concomitant use of any type of anesthesia other than general anesthesia (epidural anesthesia, spinal anesthesia, wall block, pericatricial infiltration). Wall blocks and pericatricial infiltrations are allowed if they are carried out at the end of the intervention
• Concomitant use of IV lidocaine or continuous ketamine (IV, SE) during anaesthesia

Related Conditions & MeSH terms

• Abdominal Surgery

Intervention

Device:
• Bispectral index
Anesthesia monitoring
• Bispectral index + NOL index
Anesthesia monitoring

Locations

Country	Name	City	State
France	Hopital d'Instruction des Armées de Bégin	Saint-Mandé	Saint Mandé
France	Foch Hospital	Suresnes
France	Hôpital d'Instruction des Armées - Sainte-Anne	Toulon	Provence-Alpes-Côte d'Azur

Sponsors (1)

Lead Sponsor	Collaborator
Hopital Foch

Country where clinical trial is conducted

France, 

References & Publications (1)

Meijer FS, Martini CH, Broens S, Boon M, Niesters M, Aarts L, Olofsen E, van Velzen M, Dahan A. Nociception-guided versus Standard Care during Remifentanil-Propofol Anesthesia: A Randomized Controlled Trial. Anesthesiology. 2019 May;130(5):745-755. doi: 1 — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Remifentanil consumption during maintenance	Remifentanil consumption during anesthesia maintenance in µg/kg/min	surgery day (D0)
Secondary	Remifentanil consumption during induction	Remifentanil consumption during anesthesia induction in µg/kg/min	surgery day (D0)
Secondary	Propofol consumption during induction	Propofol consumption during anesthesia induction in µg/kg/min	surgery day (D0)
Secondary	Propofol consumption during maintenance	Propofol consumption during anesthesia maintenance in µg/kg/min	surgery day (D0)
Secondary	Proportion of patients with intraoperative hemodynamic abnormality in the NOL index group compared to standard care group during induction	A hemodynamic abnormality is defined as: administration of a vasoactive agent (ephedrine, phenylephrine, norepinephrine, adrenaline, atropine); and/or average blood pressure < 55 mmHg or < 60 mmHg or < 65 mmHg for any length of time; an/or a systolic blood pressure > 140 mmHg for any length of time; and/or a heart rate < 45 or > 90 /min	surgery day (D0)
Secondary	Proportion of patients with intraoperative hemodynamic abnormality in the NOL index group compared to standard care group during maintenance	Mean Blood pressure events during anesthesia inductio A hemodynamic abnormality is defined as: administration of a vasoactive agent (ephedrine, phenylephrine, norepinephrine, adrenaline, atropine); and/or average blood pressure < 55 mmHg or < 60 mmHg or < 65 mmHg for any length of time; an/or a systolic blood pressure > 140 mmHg for any length of time; and/or a heart rate < 45 or > 90 /min	surgery day (D0)
Secondary	Proportion of patients with intraoperative anesthetic abnormality in the NOL index group compared to standard care group during induction	An anesthetic abnormality is defined as: a bispectral (BIS) index < 40 or > 60 for at least one minute; and/or a Burst Suppression Ratio (BSR) index > 10% during one minute; and/or a NOL index > 25 or < 10 for at least 2 minutes	surgery day (D0)
Secondary	Proportion of patients with intraoperative anesthetic abnormality in the NOL index group compared to standard care group during maintenance	An anesthetic abnormality is defined as: a bispectral (BIS) index < 40 or > 60 for at least one minute; and/or a Burst Suppression Ratio (BSR) index > 10% during one minute; and/or a NOL index > 25 or < 10 for at least 2 minutes	surgery day (D0)
Secondary	Wake up time	delay between the end of Propofol or Sugammadex/Neostigmine and extubation	surgery day (D0)
Secondary	Intensity of pain in PACU (post-anesthesia care unit)	Morphine consumption in PACU (post-anesthesia care unit)	surgery day (D0)