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Effect of Palonosetron on Remifentanil for Preventing Emergence Cough in Female

Effect of Palonosetron on Effect-site Concentration of Remifentanil for Preventing Emergence Cough During General Anesthesia in Female Patients Undergoing Laparoscopic Cholecystectomy

Status
Completed
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT04563260
Enrollment
45
Registered
2020-09-24
Start date
2020-10-07
Completion date
2021-03-19
Last updated
2021-05-11

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Gallbladder Diseases

Brief summary

The primary purpose of this study is to investigate the optimal Ce of remifentanil for preventing emergence cough following extubation during general anesthesia in female patients who receive the palonosetron or not.

Detailed description

Remifentanil is a potent ultrashort-acting opioid, with rapid onset and offset of drug effect. It allows rapid anesthetic emergence even after a prolonged infusion, and decreases the at-risk time during extubation. In addition, cough suppression of remifentanil enables smooth extubation with reduced complications. However, the infusion of remifentanil suppresses the emergence cough effectively in clinical practice, whereas it still delays the awakening from anesthesia, resulting in prolonged emergence time. Reduced Ce of remifentanil during emergence would decrease the adverse events that are associated with remifentanil infusion.

Interventions

DRUGNormal saline injection

Normal saline 2 mL, intravenous injection

DRUGPalonosetron Injection [Aloxi]

Palonosetron 1.5 mL (0.075 mg) + Normal saline 0.5 mL, intravenous injection

Sponsors

Ajou University School of Medicine
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
TRIPLE (Subject, Caregiver, Outcomes Assessor)

Eligibility

Sex/Gender
FEMALE
Age
19 Years to 85 Years
Healthy volunteers
No

Inclusion criteria

* Laparoscopic cholecystectomy under general anesthesia

Exclusion criteria

* BMI \> 30 kg/m2, respiratory infection, uncontrolled hypertension

Design outcomes

Primary

MeasureTime frameDescription
optimal Ce of remifentanilFrom the end of surgery until the time of endotracheal extubation, about 20 minutesUsing Dixon methods, evaluating of optimal Ce of remifentanil for preventing emergence cough following extubation during general anesthesia

Countries

South Korea

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026