About this trial
Gastrointestinal dysfunction is common in patients after major surgery, especially for neurosurgery. It was reported 80% of neurosurgery patients could be combined with gastrointestinal dysfunction, and it may relate to old age, surgery time, and factors of anesthesia and surgery. Meanwhile, postoperative constipation, nausea, and vomiting induced by gastrointestinal dysfunction may increase the intracranial bleeding. Oliceridine could activate mu opioid receptors without the interaction of (beta)arr2-muOR, and may reduce the gastrointestinal dysfunction, but a limited study has illustrated this topic. Thus, this study is conducted to explore whether oliceridine could reduce the gastrointestinal dysfunction vs. sufentanil in patients undergoing neurosurgery.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Patients undergoing selective neurosurgical resection of craniocerebral tumors;
Age ≥ 18 years old;
American Society of Anesthesiologists (ASA) grade 1-3;
Sign the informed consent form.
Disqualifiers
Patients unable to complete scale assessment due to preoperative language dysfunction or communication impairment;
Patients with preoperative symptoms of posterior cranial nerve injury and who need to retain a tracheal tube;
Patients with insular, brainstem, or medullary lesions that may impair early postoperative recovery of consciousness;
Patients undergoing intracranial lesion resection via the transsphenoidal approach;
Trial design
Parallel
Treatments tested in this trial
Experimental: Oliceridine group
DrugDuring the operation, both the induction and maintenance of anesthesia as well as the analgesic drugs were administered with oxilazide. The dosage and administration timing of the drugs were determined by the anesthesiologist.
Active Comparator: Classical opioid group
DrugDuring the operation, both the induction and maintenance of anesthesia were achieved using sufentanil. The dosage and administration timing of the drugs were determined by the anesthesiologist.
Treatment groups
Trial outcomes
Primary outcomes
High risk rate of gastrointestinal dysfunction
The high-risk rate of postoperative gastrointestinal dysfunction was assessed using the Intake, feeling nauseated, emesis, physical examination, and duration of symptoms (I-FEED) scoring system.
Locations
Sponsors and contacts
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