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Combination of Remifentanil and Flurbiprofen in Sedation and Analgesia for ESWL of Pancreatic Stone

Primary Purpose

Pancreatic Stone Disease

Status
Completed
Phase
Phase 4
Locations
China
Study Type
Interventional
Intervention
Remifentanil
Flurbiprofen and remifentanil
Sponsored by
Changhai Hospital
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Pancreatic Stone Disease focused on measuring extracorporeal shock wave lithotripsy, remifentanil, flurbiprofen, pancreatic stone

Eligibility Criteria

18 Years - 65 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • aged 18-65 years
  • ASA I-II
  • ESWL indication was met

Exclusion Criteria:

  • patients with hypertension
  • patients compromised in cardiopulmonary function
  • patients undergoing ESWL for the second or more times

Sites / Locations

  • Department of Anesthesiology, Changhai Hospital

Arms of the Study

Arm 1

Arm 2

Arm Type

Active Comparator

Experimental

Arm Label

Rem group

Flur group

Arm Description

Patients in this group receive single infusion of remifentanil with target concentration infusion.

Patients in this group receive both infusion of flurbiprofen and remifentanil

Outcomes

Primary Outcome Measures

Visual analogue score of pain

Secondary Outcome Measures

Cardiovascular responses including blood pressure and heart rate

Full Information

First Posted
November 19, 2013
Last Updated
February 2, 2015
Sponsor
Changhai Hospital
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1. Study Identification

Unique Protocol Identification Number
NCT01998217
Brief Title
Combination of Remifentanil and Flurbiprofen in Sedation and Analgesia for ESWL of Pancreatic Stone
Study Type
Interventional

2. Study Status

Record Verification Date
February 2015
Overall Recruitment Status
Completed
Study Start Date
September 2012 (undefined)
Primary Completion Date
December 2013 (Actual)
Study Completion Date
December 2013 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Changhai Hospital

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
Extracorporeal shock wave lithotripsy (ESWL) of pancreatic stones has been described as an effective approach for stone drainage and pain relief, and general or epidural anesthesia has been reported for such procedure. Single infusion of remifentanil has been described in ESWL of urinary stones, but it has never been described in ESWL of pancreatic stones. Moreover, single infusion of remifentanil might induce several complications, such as postoperative nausea and vomiting. The investigators attended to investigated whether combination of flurbiprofen with remifentanil reduced remifentanil dose and attenuated the complications.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Pancreatic Stone Disease
Keywords
extracorporeal shock wave lithotripsy, remifentanil, flurbiprofen, pancreatic stone

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 4
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
60 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Rem group
Arm Type
Active Comparator
Arm Description
Patients in this group receive single infusion of remifentanil with target concentration infusion.
Arm Title
Flur group
Arm Type
Experimental
Arm Description
Patients in this group receive both infusion of flurbiprofen and remifentanil
Intervention Type
Drug
Intervention Name(s)
Remifentanil
Intervention Description
Patients in Rem group receive sedation and analgesia with remifentanil, dose of which will be determined by the up-and-down method.
Intervention Type
Drug
Intervention Name(s)
Flurbiprofen and remifentanil
Intervention Description
Patients in this group receive sedation and analgesia with flurbiprofen and remifentanil, dose of which was determined by the up-and-down method.
Primary Outcome Measure Information:
Title
Visual analogue score of pain
Time Frame
During ESWL procedure
Secondary Outcome Measure Information:
Title
Cardiovascular responses including blood pressure and heart rate
Time Frame
During ESWL procedure
Other Pre-specified Outcome Measures:
Title
Side effects
Description
The side effects including postoperative nausea and vomiting, as well as pruritus.
Time Frame
within 24 hours after ESWL procedure

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: aged 18-65 years ASA I-II ESWL indication was met Exclusion Criteria: patients with hypertension patients compromised in cardiopulmonary function patients undergoing ESWL for the second or more times
Facility Information:
Facility Name
Department of Anesthesiology, Changhai Hospital
City
Shanghai
State/Province
Shanghai
ZIP/Postal Code
200433
Country
China

12. IPD Sharing Statement

Citations:
PubMed Identifier
26547293
Citation
Yang YG, Hu LH, Chen H, Li B, Fan XH, Li JB, Wang JF, Deng XM. Target-controlled infusion of remifentanil with or without flurbiprofen axetil in sedation for extracorporeal shock wave lithotripsy of pancreatic stones: a prospective, open-label, randomized controlled trial. BMC Anesthesiol. 2015 Nov 7;15:161. doi: 10.1186/s12871-015-0141-6.
Results Reference
derived

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Combination of Remifentanil and Flurbiprofen in Sedation and Analgesia for ESWL of Pancreatic Stone

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