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Goal-directed Analgesia Using ANI During General Anesthesia in Children With Moyamoya Disease

Effect of Goal-directed Analgesia Using ANI (Analgesia/Nociception Index) During General Anesthesia in Children Undergoing EDAS (Encephaloduroarteriosynangiosis) Surgery for Moyamoya Disease: a Randomized Controlled Trial

Status
UNKNOWN
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT05672212
Enrollment
40
Registered
2023-01-05
Start date
2023-01-04
Completion date
2025-01-04
Last updated
2023-01-09

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

Conditions

Pain

Brief summary

Analgesia Nociception Index (ANI) has been proposed for the evaluation of the nociception-antinociception balance in the perioperative period. In pediatric patients with Moyamoay disease, where the management of analgesia may be rendered difficult by pharmacological changes, we hypothesised that the monitoring of analgesia with ANI would reduce intraoperative opioid consumption during EDAS surgery.

Interventions

DEVICEANI (Analgesia/Nociception Index) monitoring

Intraoperative analgesia was provided by injection of sufentanil, which was performed according to ANI monitor.

Intraoperative analgesia was provided by injection of sufentanil, which was performed according to the clinician's assessment.

DRUGSufentanil

Sufentanil

Sponsors

Seoul National University Hospital
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
No minimum to 18 Years
Healthy volunteers
No

Inclusion criteria

* Pediatric patients receiving EDAS surgery for Moyamoya disease

Exclusion criteria

* ASA (American society of anesthsiologists classification) 4-5 * Emergency surgery * patients with chronic pain on medication

Design outcomes

Primary

MeasureTime frame
the mean hourly intraoperative sufentanil requirementfrom induction of anesthesia to end of operation, about 5 hours

Secondary

MeasureTime frame
the amount of non-opioids analgesic requirementsfrom induction of anesthesia to end of operation, about 5 hours
the amount of vasoactive agents requirementsfrom induction of anesthesia to end of operation, about 5 hours

Countries

South Korea

Contacts

Primary ContactEun-hee Kim
beloveun@snu.ac.kr+82-2-2072-3664

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 6, 2026