Academic Journal

Effects of qCON and qNOX-guided general anaesthesia management on patient opioid use and prognosis: a study protocol

التفاصيل البيبلوغرافية
العنوان: Effects of qCON and qNOX-guided general anaesthesia management on patient opioid use and prognosis: a study protocol
المؤلفون: Yuan Yuan, Kaijun Niu, Yuxin Zheng, Yize Li, Yonghao Yu, Guolin Wang, Jiamin Kang, Chongliang Fang, Yuanjie Li
المصدر: BMJ Open, Vol 13, Iss 5 (2023)
بيانات النشر: BMJ Publishing Group, 2023.
سنة النشر: 2023
المجموعة: LCC:Medicine
مصطلحات موضوعية: Medicine
الوصف: Introduction The adverse effects of general anaesthetic drugs (especially opioids) cannot be ignored. However, current nociceptive-monitoring techniques still lack consistency in guiding the use of opioids. This trial will study the demand for opioid use and patient prognosis in qCON and qNOX-guided general anaesthesia management.Methods and analysis This prospective, randomised, controlled trial will randomly recruit 124 patients undergoing general anaesthesia for non-cardiac surgery in equal numbers to either the qCON or BIS group. The qCON group will adjust intraoperative propofol and remifentanil dosage according to qCON and qNOX values, while the BIS group will adjust according to BIS values and haemodynamic fluctuations. The differences between the two groups will be observed in remifentanil dosing and prognosis. The primary outcome will be intraoperative remifentanil use. Secondary outcomes will include propofol consumption; the predictive ability of BIS, qCON and qNOX on conscious responses, noxious stimulus and body movements; and changes in cognitive function at 90 days postoperatively.Ethics and dissemination This study involves human participants and was approved by the Ethics Committee of the Tianjin Medical University General Hospital (IRB2022-YX-075-01). Participants gave informed consent to participate in the study before taking part. The study results will be published in peer-reviewed journals and presented at relevant academic conferences.Trial registration number ChiCTR2200059877
نوع الوثيقة: article
وصف الملف: electronic resource
اللغة: English
تدمد: 2044-6055
Relation: https://bmjopen.bmj.com/content/13/5/e069134.full; https://doaj.org/toc/2044-6055
DOI: 10.1136/bmjopen-2022-069134
URL الوصول: https://doaj.org/article/94b5cc40ddb34e6d9e5bd64e66fe220d
رقم الانضمام: edsdoj.94b5cc40ddb34e6d9e5bd64e66fe220d
قاعدة البيانات: Directory of Open Access Journals
الوصف
تدمد:20446055
DOI:10.1136/bmjopen-2022-069134