Objective Measurement of the Mechanical Pain Threshold With an Algometer for Predicting Intraoperative Opioid Consumption in Patients Who Will be Operate by Thoracotomy and Sternotomy in Cardiac Surgery
The Usefulness of Preoperative Measurement of the Mechanical Pain Threshold for Predicting Intraoperative Opioid Consumption
The study aims to test the relationship between the preoperative pain threshold and the intraoperative need for opioids.
The objective of the study is to try to predict a patient's analgesic needs based on their objectively determined preoperative pain threshold.
The investigators will include patients scheduled for elective cardiovascular surgery.
The investigators will investigate the correlation between the preoperative pain threshold and intraoperative/postoperative opioid consumption in a highly standardized anesthesia setting.
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: IONUT TABOLCEA, Doctor
- Phone Number: +32 488 72 00 46
- Email: Ionut.tabolcea@hubruxelles.be
Study Contact Backup
- Name: NATHAN ASSERAF
- Phone Number: +33695951361
- Email: nathan.asseraf@ulb.be
Study Locations
-
-
Anderlecht
-
Brussels, Anderlecht, Belgium, 1070
- Recruiting
- Erasme Hospital
-
Contact:
- Dr. IONUT TABOLCEA
- Phone Number: +32 488 72 00 46
- Email: Ionut.tabolcea@hubruxelles.be
-
Contact:
- NATHAN ASSERAF
- Phone Number: +33 6 95 95 13 61
- Email: nathan.asseraf@ulb.be
-
Principal Investigator:
- IONUT TABOLCEA, Doctor
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Child
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- ASA 3 patients with scheduled cardiac surgery by thoracotomy or sternotomy
Exclusion Criteria:
- Patient refusal,
- A body mass index (BMI) > 30 kg/m²,
- Allergies to any medication used in typical cardiac anesthesia,
- Chronic pain or regular use of analgesics,
- Severe ventricular dysfunction, pulmonary hypertension, poorly controlled arhythmia,
- Non-elective surgery.
- Patients enrolled in another study protocol within the previous 3 months,
- Pregnant or breastfeeding patients,
- Patients with severe renal or hepatic impairment.
- Patients for whom the study will be stopped in the event of blood loss greater than or equal to one liter, or for any other severe perioperative surgical complication.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Other: pain threshold arm
In this arm, patients get a measure of their minimal pain threshold in the preoperative time, that is the only intervention they get in addition of the classic care support
|
The measure of the minimal pain threshold is taken the day before the cardiac surgery
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Correlation between the pressure pain threshold and the consumption of opioid during and after the surgery
Time Frame: From enrollment to the end of opioid administration during hospital stay, up to 6 days after the enrollment
|
After the measure of the minimal pain threshold the day before the surgery, the investigators look at the quantity of Remifentanil which has been given to the patient during the surgery.
Then they will look for a correlation
|
From enrollment to the end of opioid administration during hospital stay, up to 6 days after the enrollment
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Correlation between the pain threshold and the consumption of morphine during the post-operative time
Time Frame: From enrollment to the end of opioid administration during hospital stay, up to 6 days after the enrollment
|
After the measure of the minimal pain threshold the day before the surgery, the investigators look at the quantity of morphine which has been administrated by a PCA (Intravenous Patient-Controlled Analgesia (IV-PCA) with morphine) to the patient during the post-operative time.
Then they are looking for a correlation.
|
From enrollment to the end of opioid administration during hospital stay, up to 6 days after the enrollment
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: IONUT TABOLCEA, Doctor, Erasme University Hospital
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
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
Other Study ID Numbers
Other Study ID Numbers
- HUB2025080
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
IPD Sharing Time Frame
IPD Sharing Access Criteria
IPD Sharing Supporting Information Type
- STUDY_PROTOCOL
- SAP
- ICF
- ANALYTIC_CODE
- CSR
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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