Anesthesia, Obesity
Conditions
Keywords
Anesthesia, Obesity
Brief summary
Pharmacokinetic models for anesthetic agents are questionable. The objective of the study is to compare the propofol and remifentanil doses required to maintain the bispectral index in the range 40-60 in two groups of patients: obese patients and lean patients
Interventions
total intra-venous anesthesia (propofol and remifentanil) being delivered using a close-loop system with the Bispectral Index as the single input for the controller
total intra-venous anesthesia (propofol and remifentanil) being delivered using a closed-loop system with the Bispectral Index as the single input for the controller
Sponsors
Study design
Eligibility
Inclusion criteria
\- Patients scheduled for a bariatric coelioscopic surgical procedure (obese patients) or for an upper abdominal laparoscopic procedure (lean patients)
Exclusion criteria
* age lower than 18 years, * pregnant woman, * presence of a central neurological disorder or a lesion cerebral, of a severe respiratory or hepatic insufficiency, * allergy to propofol, or to soja or to peanuts, or to sufentanil, or to remifentanil, or to morphine, or to a muscle myorelaxant, or to an excipient, * hypersensibility to sufentanil, or to remifentanil or to another derivate of fentanyl, * allergy to latex, * presence of a symptomatic gastroesophageal reflux, * patients receiving a psychotropic treatment or a agonist-antagonist opiate, * presence of predictive signs of difficult mask ventilation of difficult intubation (else than obesity)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Dose of propofol administered | intraoperatively |
Secondary
| Measure | Time frame |
|---|---|
| remifentanil requirement, hemodynamic profile, time to extubation, performances of the automated system of propofol and remifentanil deliver | intraoperatively |
Countries
France