Our study aims to compare the total intravenous dose of remifentanil per anesthesia hour and body weight in two groups of pediatric surgical patients - an interventional group with remifentanil infusion under pupillometry monitoring, and control group without pupillometry - to figure out whether pupillometry monitoring may reduce remifentanil consumption during anesthesia while providing sufficient analgesia for surgical noxious stimuli.
comparison of total used opioid
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
TRIPLE
Enrollment
60
After induction of anesthesia and determination of the loss of consciousness of the participant, baseline diameter of pupil is measured by electronic pupillometry device. During anesthesia, participant's pupil diameter is repeatedly measured with 5-minute interval. Pupil dilation of 30% or more compared to baseline is indicative of insufficient analgesia.
Seoul National University Hospital
Seoul, South Korea
RECRUITINGremifentanil total dose in microgram
Remifentanil total dose divided by anesthesia time (minute) and patient weight (kg).
Time frame: from beginning of anesthesia to the end of the anesthesia
FLACC score
FLACC score (a pain evaluation method for children who cannot express their severity of pain verbally) right after post-anesthesia care unit arrival.
Time frame: Arrival at the post-anesthesia care unit
Adjusted analgesic dose after anesthesia
Total dose of analgesics (NSAIDs and opioids) delivered to the patient since the end of the anesthesia, until 24 hours after the end of anesthesia
Time frame: 24 hours after the end of anesthesia
Emergence time
Time between the end of the surgery and extubation
Time frame: Intraoperative
Incidence of rescue therapy
Incidence of vasopressor/inotropics/anticholinergics/fluid/vasodilators administered, due to moderate to severe hemodynamic change
Time frame: Intraoperative
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