Hyperalgesia
Conditions
Keywords
Remifentanil induced postoperative hyperalgesia
Brief summary
The purpose of this study is to study the effect of intraoperative magnesium on remifentanil-induced postoperative hyperalgesia after thyroidectomy
Interventions
Patients undergoing thyroidectomy will be randomly assigned to one of three groups. Remifentanil will be infused intraoperatively at 0.05 ㎍/㎏/min (group Ⅰ) or 0.2 ㎍/㎏/min (group Ⅱ & Ⅲ). Patients in group Ⅲ will be received 30 ㎎/㎏ MgSO4 at the induction of general anesthesia followed by a maintenance infusion of 10 ㎎/㎏/hr intraoperatively until skin closure.
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients undergoing thyroidectomy, * Age 20-65, * American Society of Anesthesiologists physical status classification I or II.
Exclusion criteria
* History of chronic pain, Regular use of analgesic, antiepileptic or antidepressive drugs, * History of drug & alcohol abuse, * Psychiatric disorder, * Use of opioids within 24hrs, * Renal disease with decreased GFR, * Neuromuscular disease, Severe cardiac disease.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Tactile pain thresholds adjacent to the surgical wound assessed by von Frey hair before the induction and at postoperative 24 & 48 hrs | postoperative 48 hrs |
Countries
South Korea