Laparoscopic Cholecystectomy
Conditions
Keywords
Caffeine, Anesthesia emergence, Cholecystectomy, Sevoflurane
Brief summary
A faster emergence from general anesthesia has a double medico-economic impact by reducing the risks of complications and optimizing the performance of surgical units. No drug has been retained for its ability to actively accelerate anesthetic emergence by antagonizing hypnotics. Thus, the aim of this study was to examine the effect of caffeine on the time to emerge from sevoflurane anesthesia for laparoscopic cholecystectomy.
Interventions
At the end of the surgery, the study drug was given intravenously over ten minutes than the sevoflurane infusion was stopped corresponding to the start of the recovery period
At the end of the surgery, the placebo was given intravenously over ten minutes than the sevoflurane infusion was stopped corresponding to the start of the recovery period
Sponsors
Study design
Eligibility
Inclusion criteria
* American society of Anesthesiologists (ASA) I and II patients, aged older than 18 years old and scheduled for laparoscopic cholecystectomy
Exclusion criteria
* Patient with an allergy to caffeine citrate and analgesics used during postoperative period, those with severe renal or hepatic failure, those who refused to participate in addition to patient with heart rhythm disorder, seizure disorder, hypertension, alcoholic or psychiatric illness
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| anesthetic recovery time | Postoperative | time to return to spontaneous breathing, eye opening on verbal command and time for extubation |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| plasma caffeine levels at H1 and H24 | Hour 1 and Hour 24 | — |
| postoperative rehabilitation | 24 hours postoperatively | incidence of headache, nausea and vomiting, tiredness score, time to the first flatus and satisfaction of patients |
| postoperative pain (Visual Analog Scale score 0 no pain to 10 severe pain) and consumption of morphine | 24 hours postoperatively | — |
Countries
Tunisia