Headache
Conditions
Brief summary
Postoperative headache is a major issue after general anaesthesia and surgery. The aim of this study is to investigate the possible difference in the occurrence of postoperative headache when general anaesthesia is maintained with propofol, which is supposed to have protective effects on migraine patients, versus sevoflurane.
Detailed description
Postoperative headache is a major issue after general anaesthesia and surgery. The aim of this study is to investigate the possible difference in the occurrence of postoperative headache when general anaesthesia is maintained with propofol, versus sevoflurane. Propofol acts throught a GABA, and is known to have a therapeutic effect on migraine patients with accute attacts. However, its role on postoperative headache has not been studied, when used for maintainance of anaesthesia, this study aims to investigate the occurrence of headache after anaesthesia and surgery, when patients receive randomly two different anaesthetics: propofol and sevoflurane.
Interventions
Maintanance of general anaesthesia with propofol
Maintainance of general anaesthesia with sevoflurane.
Sponsors
Study design
Masking description
The patient and the outcomes assessor will not know what kind of anaesthetic drug was used for maintainance of anaesthesia.
Eligibility
Inclusion criteria
* ASA I-III * scheduled operation under general anaesthesia * operations \<4 hours * minorgynaecological operatios (leiomyomectomy) * hernia repair * arthroscopic procedurs * minor orthopaedic operations without the use of tourniquet or cement * saphenectomy * minor urologic operations * minor other operations of general surgery
Exclusion criteria
* age \<18 and \>65 years old * ASA\>III * Diseases of the central nervous system (ie Parkinsons's disease, Multiple sclerosis, previous ischaemic attack, hydrocephalus, seizure disorder, etc) * Psychosis under medication * Cognitive impairement or/and inability to fill in the questionaires * Allergy or contraindication to the study protocol included drugs * Operations of more than 4 hours duration * Head and neck procedures, procedures with neck extension (eg thyroidectomy), ENT procedures * renal impairement * hepatic impairement * patient refusal
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| incidence of postoperative headache (yes or no) | up to 24 hours postoperatively | Rate of postoperative headache in patients receiving sevoflurane versus propofol (yes or no headache) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Nausea and vomiting | up to 24 hours postoperatively | Which anaesthetic (propofol or sevoflurane) is associated with less postoperative nausea and vomiting |
Countries
Greece