The aim of this prospective randomized study is to evaluate the impact of peroperative pupillometry monitoring on per and post-operative opioid consumption in pediatric anesthesia. All patients are anesthetized with sevoflurane and remifentanil. In the intervention group, peroperative remifentanil infusion rate is guided by pupillometry. In the other group, remifentanil infusion rate is guided according to hemodynamic data.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Pupillary diameter measured every 5 minutes
Administered to maintain a Bispectral Index between 40 and 60
Geneva Children's Hospital
Geneva, Switzerland
peroperative remifentanil consumption
Time frame: duration of surgery
Morphine consumption
Time frame: during the 24 hour post operative period
Incidence of morphine side effects
Sedation, nausea, vomiting, pruritus, urinary retention
Time frame: during the 24 hour post operative period
Pain scoring (verbal numerical scale)
Time frame: during the 24 hour post operative period
Pain scoring (questionnaire)
Time frame: one month post-operatively
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.