Effect of Nitrous Oxide on Intravenous Closed-loop Anesthesia (Drone-N2O)
Anesthésie Totale Intraveineuse en " Boucle d'Asservissement " guidée Par l'Index Bispectral : Effet de l'Adjonction de Protoxyde d'Azote (Effect of Nitrous Oxide on Intravenous Closed-loop Anesthesia)
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Nitrous oxide is a widely used anesthetic agent. The mechanism of its central action is not completely understood and its importance is questioned.
Total intravenous anesthesia can be driven by a computer using bispectral index as a controller. Such a system matches anesthetic agent requirements to the needs of each individuum and thus allows an unbiased evaluation of the influence of nitrous oxide. Two groups of patients are compared: one ventilated with a oxygen-air mixture and one with oxygen-nitrous oxide mixture. Anesthesia is provided by a "dual-loop" which adapts propofol and remifentanil target concentrations to maintain a bispectral index between 40 and 60 in both groups.
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 4
Contacts and Locations
Study Locations
-
-
-
Brussels, Belgium
- Hôpital Erasmes
-
-
-
-
-
Angers, France
- CHU d'Angers
-
Argenteuil, France, 95100
- CH Victor Dupouy
-
Besançon, France, 25030
- CHU de Besancon
-
Bordeaux, France, 33000
- Clinique Saint Augustin
-
Clichy, France, 92110
- Hopital Beaujon
-
Dreux, France, 28102
- Centre Hospitalier de Dreux
-
Le Kremlin-Bicêtre, France, 94275
- Hopital de Bicetre
-
Marseille, France, 13009
- Institut Paoli-Calmettes
-
Nouméa, France, 98849
- Centre Hospitalier Territorial Gaston Bourret
-
Paris, France, 75014
- Hopital Cochin
-
Paris, France, 75013
- Hopital Pitie-Salpetriere
-
Strasbourg, France, 67200
- Hopital de Hautepierre
-
Suresnes, France, 92151
- Hopital Foch
-
Toulouse, France, 31052
- Institut Claudius Regaud
-
Tours, France, 37044
- Hôpital Trousseau
-
-
-
-
-
Berlin, Germany, D - 10117
- La Charite
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- General anaesthesia with controlled ventilation
Exclusion Criteria:
- Age lower than 18 years
- Pregnant woman
- Allergy to the propofol or to a muscle myorelaxant
- Patients receiving a psychotropic treatment
- Presence of a central neurological disorder or a lesion cerebral
- Patients having an anomaly of blood cells count preoperative biological assessment
- Patients having had an anaesthesia in the previous month
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Active Comparator: 1
ventilation with air and oxygen
|
60% air combined with 40% oxygen for ventilation
|
|
Experimental: 2
ventilation with nitrous oxide and oxygen
|
60% nitrous oxide combined with 40% oxygen for ventilation
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Measure: influence of nitrous oxide on the automated administration of propofol and remifentanil.
Time Frame: during anesthesia
|
during anesthesia
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Measure: consequences of the use of nitrous oxide on the performance of the automated administration system.
Time Frame: during anesthesia
|
during anesthesia
|
|
Influence of Gender
Time Frame: during anesthesia
|
during anesthesia
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Study Chair: Marc Fischler, MD, Hopital Foch, 92150 Suresnes, France
Publications and helpful links
General Publications
- Liu N, Chazot T, Genty A, Landais A, Restoux A, McGee K, Laloe PA, Trillat B, Barvais L, Fischler M. Titration of propofol for anesthetic induction and maintenance guided by the bispectral index: closed-loop versus manual control: a prospective, randomized, multicenter study. Anesthesiology. 2006 Apr;104(4):686-95. doi: 10.1097/00000542-200604000-00012.
- Karalapillai D, Leslie K, Umranikar A, Bjorksten AR. Nitrous oxide and anesthetic requirement for loss of response to command during propofol anesthesia. Anesth Analg. 2006 Apr;102(4):1088-93. doi: 10.1213/01.ane.0000198672.05639.0a.
- Liu N, Le Guen M, Boichut N, Genty A, Herail T, Schmartz D, Khefif G, Landais A, Bussac JJ, Charmeau A, Baars J, Rehberg B, Tricoche S, Chazot T, Sessler DI, Fischler M. Nitrous oxide does not produce a clinically important sparing effect during closed-loop delivered propofol-remifentanil anaesthesia guided by the bispectral index: a randomized multicentre study. Br J Anaesth. 2014 May;112(5):842-51. doi: 10.1093/bja/aet479. Epub 2014 Jan 31.
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Estimate)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- 2007-08 (Other Identifier: Centre Oscar Lambret)
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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