Opioids have many side effects, such as constipation, urinary retention, itchy skin, respiratory depression, and postoperative nausea and vomiting. These side effects can lead to delayed recovery, longer hospital stays, and increased health care costs. Opioid-free anesthesia is the combination of anti-nociceptive drugs to block the different pathways involved in the transmission of nociceptive information, control pain, avoid opioid-related adverse reactions, and promote patient recovery. At present, opioid-free anesthesia is not widely used in craniocerebral surgery in neurosurgery, and the relevant clinical data are extensive. Therefore, the investigators urgently need to conduct a randomized controlled study to provide clinical evidence for the efficacy and safety of opioid-free anesthesia in neurosurgical patients.
Data sharing plan: The deidentified participant data reported in this study could be made available to researchers upon approval by the corresponding author (Dr. Ruquan Han, ruquan.han@ccmu.edu.cn) immediately after publication. The reasonable request should provide a formal protocol for database use that has been approved by the ethics institutions.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
TRIPLE
Enrollment
170
Intraoperative analgesia will be administered with conventional opioid drugs such as sufentanil and remifentanil.
The patients will be administered with an opioid-free strategy during surgery. The investigator will use esketamine, dexmetopidine, and local anesthesia to control perioperative pain.
Beijing Tiantan Hospital
Beijing, China
RECRUITINGthe quality of recovery-15(QoR-15) score on the second day after surgery
Quality of Recovery-15(QoR-15) score, as a tool to evaluate recovery quality during perioperative period. The QoR-15 scale was used to assess patients' postoperative recovery. Each item is scored on a 10-point scale, from 0 (worst recovery) to 150 (best recovery).
Time frame: on the second day after surgery
The QoR-15 score on the 5th day after surgery
Time frame: on the 5th day after surgery
The incidence of nausea and vomiting within 48 hours after surgery
Time frame: 48 hours after surgery
The NRS pain score on the second and 5th days after surgery
Time frame: on the second and 5th days after surgery
The sleep quality on the second and 5th days after surgery
Time frame: on the second and 5th days after surgery
The incidence of chronic pain at 3 and 6 months after surgery
Time frame: at 3 and 6 months after surgery
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.