Gynecological outpatient surgery
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Obtained Inform Consent Healthy women ASA classification I-II Age 50-70 years, kakuasier BMI 20-30 Elective outpatient gynecological procedures Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range 90 F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range 30
Exclusion criteria
Exclusion criteria: Psyciatric disorder Use of Antipsycotics, Sedatives, Opioids Smoking Allergy to propofol Abuse of drugs and alcohol Incapable of giving consent Chronic pelvic pain Positive pregnancy test , measured in woman with childbearing potential Smoking Allergy to propofol Abuse of drugs and alcohol Incapable of giving consent
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: Identifying the most optimal dose of propofol without opioids to reduce risk for depressed respiration( oxigen - saturation) while maintaining adequate moderate sedation ( EEG and response to verbal command ) and comfort with patient-controlled sedation( need of alfentanil/ propofol). ;Secondary Objective: Concentration of propofol in plasma Patient satisfaction and recovery ;Primary end point(s): To evaluate the risk of depressed respiration in different dosage of propofol administrated as patient controlled sedation. Depressed respiration defined as oxygen saturation below 94% To evaluate level of pain Using NRS defined as 3 or more before surgery and every five minutes or if patient verbalises pain during surgery To evaluate EEG pattern during patient controlled sedation To evaluate need of rescue medication, alfentanil and/ or propofol ;Timepoint(s) of evaluation of this end point: Continuous measurement of respiratory rate for 15-90 minutes depending on the operating length Continuous measuring of puls saturation NRS registration every five minutes | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): To evaluate the plasma concentration of propofol at certain time points To evaluate patient satisfaction with self controlled sedation To evaluate the surgeons opinion of procedure feasibillity;Timepoint(s) of evaluation of this end point: Continuously during the surgery with EEG. Patient satisfaction control one hour after the end of surgery, and telephone follow-up after 48 hours Surgeons satisfaction direct after surgery | — |
Countries
Sweden
Contacts
Region Ostergotland