Comparison Between Opioid-Free Anaesthesia Versus Opioid Based Anesthesia in Reduction Postoperative Nausea and Vomiting (PONV)After Thoracoscopic Lung Resection.

ConditionPONV
Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-80
SponsorSohag University

About this trial

The invistigators hypothesized that a protocolized OFA technique would lower the occurance of PONV in patients undergoing thoracoscopic lung surgery compared to standard opioid-based anaesthesia.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Eligible participants were adults (18-80 years).

Prepared for elective thoracoscopic lobectomy or segmentectomy for lung cancer under general anaesthesia

Disqualifiers

Contraindication to any study drug (e.g., heart block, severe liver disease, allergy).

Chronic opioid use (>30 MME/day for >3 months).

Patients with renal impairment (e GFR <30 mL/min).

Pregnancy.

Trial design

Design model

Parallel

Treatments tested in this trial

  • Opioid Free Anaesthesia

    Drug

    The OFA group protocol consists of a combination of intravenous lidocaine, ketamine, dexmedetomidine, and propofol TIVA.

  • conventential opioid-based anaesthesia (OBA,

    Drug

    The OBA group protocol consists of balanced anaesthesia with fentanyl plus sevoflurane.

Treatment groups

120 Participants
are divided into 2 treatment groups
Group A: conventential opioid-based anaesthesia (OBA, n=60).Placebo comparator 1 intervention
Group B: opioid free anesthesia( OFA , n=60)Experimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

the occurrence of PONV during the initial 24 hours

Time frame
24 hours

Secondary outcomes

1

total opioid consumption over 24 hour (expressed as morphine milligram equivalents.

Time frame
24 hours
2

pain intensity scores (numerical rating scale NRS 0-10)

Time frame
24 hours
3

recovery quality (QoR-15 score)

Time frame
24 hours

Other outcomes

Locations

This trial has no locations.

Sponsors and contacts

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