Post-operative remifentanil-induced hyperalgesia Skin and Connective Tissue Diseases Disturbances of skin sensation
Conditions
Interventions
All patients will receive remifentanil based general anaesthesia (target-controlled infusion [TCI] system), supplemented with oxygen and desflurane. Patients will then be randomised to:
1. Buprenorphi
Sponsors
La Sapienza University of Rome (Italy)
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Adult patients (American Society of Anaesthesiologists [ASA] grade I - III) undergoing major lung resections 2. Aged greater than 18 years, either sex
Exclusion criteria
Exclusion criteria: 1. Extremely high or low weight (less than 40 kg and greater than 100 kg) 2. Known abuse of opioid drugs 3. Patients unable to manage a patient-controlled analgesia (PCA) device
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Post-operative morphine consumption (PCA). | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Morphine titration at the end of the surgery 2. Visual Analogue Scale (VAS) at rest and during coughing at 24 and 48 hours 3. Hyperalgesic area at 24 and 48 hours (Quantitative Sensory Testing) 4. Length of post-operative hospitalisation 5. Incidence of post-thoracotomy pain after one month from surgery | — |
Countries
Italy
Outcome results
None listed