Effects of Propofol on Early Recovery of Hunger After Surgery (Propo-Faim)
Effects of Propofol on Early Recovery of Hunger After Ambulatory Surgery Compared With Sevoflurane
Recovery of hunger is a source of comfort for patients after general anesthesia. Moreover, this aspect of post-operative period is often required for discharging patients from hospital after ambulatory surgery. Indeed, this item is part of a multi-parameter score (Chung score) whose validation evaluates patient's ability to return home.
The impact of anesthetics on hunger is largely unknown but few studies suggest an orexigenic effect of propofol compared to halogenated gases. These studies had neither the power nor the methodology to answer the question. The aim of our study is to evaluate the impact of propofol versus sevoflurane on early recovery of hunger after ambulatory surgery.
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 4
Contacts and Locations
Study Locations
-
-
-
Rouen, France, 76031
- Rouen University Hospital
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- 18-45 years old women
- American Society of Anesthesiologists (ASA) score 1-2
- Affiliated to a social security system
- Undergoing an ambulatory surgery during more than 15 minutes with general anesthesia and control of upper airways (tracheal intubation or supraglottic mask or facial mask ventilation) for oocytes punction before in vitro fertilization
- General anesthesia occuring between 8 and 10 am with respect of pre-operative fasting rules
- APFEL risk score for nausea and vomiting ≤ 2/4
- Ability to understand and read french
- Signature of understood consent
Exclusion Criteria:
- Other surgery than oocytes punction
- Cognitive dysfunction
- Undernutrition or risk factor of undernutrition (evolutive neoplasia, chronic alcoholism …)
- BMI ≥ 35 kg/m²
- Eating disorders
- Diabetes mellitus
Chronic treatment with drugs modifying feeding behavior :
- Benzodiazepines
- Inhibitors of serotonin reuptake
- Others
- Non respect of pre-operative fasting rules
- Indication for rapid sequence induction (gastro-oesophageal reflux, absence of gastric emptying …)
- Contraindication to propofol (allergia to propofol, soybean or peanuts, past history of propofol infusion syndrome, unstable cardiovascular disease) or to sevoflurane (past history of malignant hyperthermia, epilepsy or liver disorders after administration of a halogenated anesthetic)
- Pregnant or breastfeeding woman
- Involvement in another clinical trial under 4 previous weeks
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Double
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Active Comparator: propofol
Hypnotic used in this arm is exclusively intra-venous propofol.
|
Other Names:
|
|
Active Comparator: sevoflurane
Hypnotic used in this arm is exclusively inhaled sevoflurane.
|
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Time before recovery of hunger after general anesthesia
Time Frame: 1-4 hours
|
Time before appearance of of hunger (evaluated by a score above 50/100 mm on analogic visual scale) after the end of hypnotic administration (propofol or sevoflurane).
|
1-4 hours
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Feeding comfort
Time Frame: 1-4 hours
|
Amount of food intake evaluated by a specific scale
|
1-4 hours
|
|
Post operative nausea and vomiting
Time Frame: 1-4 hours
|
1-4 hours
|
|
|
Validation of Chung score
Time Frame: 1-4 hours
|
Time needed to obtain a Chung score superior or equal to 9/10, permitting the patient to return home
|
1-4 hours
|
|
Change in plasmatic leptin level
Time Frame: 0-3 hours
|
Change in plasmatic leptin level (expressed in ng/ml) at the end of anesthesia, one and two hours later, compared with pre-operative value for each patient.
Dosage is realized by ELISA method.
|
0-3 hours
|
|
Change in plasmatic insulin level
Time Frame: 0-3 hours
|
Change in plasmatic insulin level (expressed in microU/ml) at the end of anesthesia, one and two hours later, compared with pre-operative value for each patient.
Dosage is realized by ELISA method.
|
0-3 hours
|
|
Change in plasmatic ghrelin level
Time Frame: 0-3 hours
|
Change in plasmatic ghrelin level (expressed in pg/ml) at the end of anesthesia, one and two hours later, compared with pre-operative value for each patient.
Dosage is realized by ELISA method.
|
0-3 hours
|
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Study Chair: Bertrand Dureuil, MD-PHD, Departement of Anesthesia, University Hospital, Rouen
- Principal Investigator: Emmanuel BESNIER, MD, Departement of Anesthesia, University Hospital, Rouen
Publications and helpful links
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 (Actual)
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
- 2014/088/HP
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