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CompletedNCT05031676Updated Sep 2, 2021

Opioid Free Anesthesia in Maxillofacial Surgery

An interventional study of opioid free anesthesia in Maxillofacial Surgery, sponsored by Université NAZI BONI. Completed at 1 site in Burkina Faso. Open to participants aged 15 Years to 65 Years. Per ClinicalTrials.gov, last updated 2021-09-02.

Sponsored by Université NAZI BONI · Not applicable, Interventional, and Other

From the registry’s dates

  • Registered 2 years 5 months after the study started (first participant enrolled Feb 2019, registered Aug 2021).
Phase
Not applicable
Study type
Interventional
Enrollment
66
Allocation
Randomized
Ages
15 Years to 65 Years
Sex
All
01

Study summary

Opioid free anesthesia is a promising practice in anesthesia. Studies already carried out have compared OFA to an opioid or "opioid anesthesia" (OA) protocol without the use of antihyperalgesic in the OA protocol. Most of the studies currently available have been carried out in Europe, America and a few in Asia under conditions other than those available in precarious situations.That's why we decide to conduct a study to evaluate the effectiveness of an OFA protocol in maxillofacial surgery in Burkina Faso.

Read the detailed description

The patients were recruited at the University Hospital of Souro Sanou in Bobo Dioulasso

02

Conditions studied

  • Maxillofacial Surgery
03

In context

Lead sponsor

Université NAZI BONI is the lead sponsor of 5 studies on the registry; 2 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
15 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • All patients aged between 15 and 65 years, admitted to the central operating room of the hospital for maxillofacial surgery.

Exclusion criteria

Exclusion Criteria:

  • Known or suspected coronary artery disease on preoperative consultation;
  • Unstable arterial hypertension
  • Insulin-dependent diabetes
  • Second degree atrioventricular block
  • Neuro-vegetative dysautonomia;
  • known allergy or intolerance to a drug of the protocols
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Study design

Phase
Not applicable
Primary purpose
Other
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Participant)
Enrollment
66 participants (actual)

Study arms

  • Experimental
    group 1

    Intervention consists at induction : direct intravenous lidocaine 1.5 mg/kg; clonidine 2 μg/kg in 250 ml of isotonic saline, started as soon as the venous route is taken and over a period of approximately 15 minutes; magnesium sulfate 50 mg/kg in the same isotonic saline as clonidine.

    Other: opioid free anesthesia

  • No intervention
    group 2

    In classic induction: fentanyl at a dose of 2 µg/kg. Following induction in all patients consisted of the administration of propofol 2-3 mg/kg in titration, rocuronium 0.6 mg/kg, ketamine 0.5 mg/kg, methylprednisolone 120 mg.

Interventions

  • Otheropioid free anesthesia

    Maintenance of anesthesia was done with halothane. The incision was allowed at 1.2 MAC of halothane. This halogen was administered according to the hemodynamic parameters and the habits of the anesthesia team. Before waking up, all the patients benefited from preventive analgesia with 1 g paracetamol combined with 20 mg nefopam by slow intravenous injection over approximately 15 minutes.

06

What researchers measure

Primary outcomes

  1. Highest numerical pain score

    The main highest numerical pain score postoperatively

    Time frame: First two hours postoperatively

Secondary outcomes

  1. Blood pressure

    Changes in blood pressure

    Time frame: six minutes after incision

  2. Ephedrine

    Intraoperative consumption of ephedrine

    Time frame: During anesthesia

  3. Wake up

    wake up time

    Time frame: Time between the end of surgery and extubation

  4. Nausea-Vomiting

    The proportion of nausea-vomiting after surgery

    Time frame: During 24 after surgery

  5. Highest numerical pain score 24 hours

    The mean of the highest EN score during the first 24 hours postoperatively

    Time frame: The first 24 hours postoperatively

  6. Non-surgical complications

    The proportion of non-surgical complications within 24 hours of anesthesia

    Time frame: During 24 hours after surgery

  7. Heart rate

    Changes in heart rate

    Time frame: six minutes after incision

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Study locations

1 site
  • Guibla
    Bobo-Dioulasso, Houet, Burkina Faso
08

References and documents

Publications

  • De Kock M. L'anesthésie sans opiacés : anecdote ou nécessité ? Douleur et Analgésie. 2014 sept;27(3):145-148.
  • Beloeil H. Anesthésie sans opiacés. Anesth Réanimation. 2018 may;4(3):215-218.
  • Mulier J. Opioid free general anesthesia: A paradigm shift? Rev Esp Anestesiol Reanim. 2017 Oct;64(8):427-430. doi: 10.1016/j.redar.2017.03.004. Epub 2017 Apr 18. No abstract available. English, Spanish. PubMed 28431750 ↗
  • Parsa FD, Cheng J, Stephan B, Castel N, Kim L, Murariu D, Parsa AA. Bilateral Breast Reduction Without Opioid Analgesics: A Comparative Study. Aesthet Surg J. 2017 Sep 1;37(8):892-899. doi: 10.1093/asj/sjx038. PubMed 28333299 ↗
  • Mansour MA, Mahmoud AA, Geddawy M. Nonopioid versus opioid based general anesthesia technique for bariatric surgery: A randomized double-blind study. Saudi J Anaesth. 2013 Oct;7(4):387-91. doi: 10.4103/1658-354X.121045. PubMed 24348288 ↗
  • Soffin EM, Wetmore DS, Beckman JD, Sheha ED, Vaishnav AS, Albert TJ, Gang CH, Qureshi SA. Opioid-free anesthesia within an enhanced recovery after surgery pathway for minimally invasive lumbar spine surgery: a retrospective matched cohort study. Neurosurg Focus. 2019 Apr 1;46(4):E8. doi: 10.3171/2019.1.FOCUS18645. PubMed 30933925 ↗
  • Bakan M, Umutoglu T, Topuz U, Uysal H, Bayram M, Kadioglu H, Salihoglu Z. [Opioid-free total intravenous anesthesia with propofol, dexmedetomidine and lidocaine infusions for laparoscopic cholecystectomy: a prospective, randomized, double-blinded study]. Rev Bras Anestesiol. 2015 May-Jun;65(3):191-9. doi: 10.1016/j.bjan.2014.05.006. Epub 2014 Nov 1. Portuguese. PubMed 25990496 ↗
  • Toleska M, Dimitrovski A. Is Opioid-Free General Anesthesia More Superior for Postoperative Pain Versus Opioid General Anesthesia in Laparoscopic Cholecystectomy? Pril (Makedon Akad Nauk Umet Odd Med Nauki). 2019 Oct 1;40(2):81-87. doi: 10.2478/prilozi-2019-0018. PubMed 31605587 ↗

Individual participant data

Plan to share: No — Use number and date to find participant folder. Participant data are confidential.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 2, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT05031676
Lead sponsor
Université NAZI BONI
Responsible party
Ismael Guibla (Anaesthesist, Université NAZI BONI) — Principal investigator
First posted
Sep 2, 2021
Start date
Feb 15, 2019
Primary completion
Jun 15, 2020
Completion
Oct 5, 2020
Last update
Sep 2, 2021

Study contacts

Ismael Guibla, Doctor
principal investigator · University Hospital Souro Sanou, Burkina Faso
Charles Ilboudo, Doctor
study chair · University Hospital Souro Sanou, Burkina Faso
Bertille Ki, Professor
study chair · Univesity of Joseph KI-ZERBO, Health sciences institute
Jean Paul Lechat, Doctor
study chair · Hospital of Charleroi (GHdC), Belgium
Cheick Bougouma, Doctor
study chair · Univesity of Joseph KI-ZERBO, Health sciences institute
Alain Traore, Professor
study director · University of Nazi Boni, Health sciences institute
Flavien Kabore, Professor
study director · Univesity of Joseph KI-ZERBO, Health sciences institute

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Aug 2021. You cannot join it, but the record below documents what was studied.

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