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RecruitingNCT06205355Updated Jan 16, 2024

Analgesia Nociception Index in Orthognathic Surgery

An interventional study of Analgesia/Nociception Index (ANI) monitoring and Standard monitoring in Postoperative Pain, sponsored by Seoul National University Hospital. Recruiting at 1 site in Korea, Republic of. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2024-01-16.

Sponsored by Seoul National University Hospital · Not applicable, Interventional, and Prevention

Phase
Not applicable
Study type
Interventional
Enrollment
86
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

This study aims to determine whether goal-directed analgesia using ANI(Analgesia/Nociception Index) can improve the quality of postoperative recovery in patients undergoing maxillofacial surgery.

02

Conditions studied

  • Postoperative Pain

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03

In context

Pain, Postoperative

5,089 studies on the registry are indexed under Pain, Postoperative; 1,137 are open to participants now.

This study's planned enrollment of 86 is above the median of 75 across 4,341 interventional studies indexed under Pain, Postoperative.

Browse Pain, Postoperative studies →

Lead sponsor

Seoul National University Hospital is the lead sponsor of 1,860 studies on the registry; 275 are open to participants now.

Of its 12 completed or terminated interventional studies of FDA-regulated products, 2 (17%) have results posted.

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

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Adult patients 18 or older undergoing maxillary, mandibular, or bimaxillary surgery under general anesthesia.
  • adult patients who can provide written informed consent to participate in the study, understand the procedures of this study, and be able to complete patient-reported questionnaires adequately.
  • adult patients who Have made an informed decision to participate in this study and have given written consent.

Exclusion criteria

Exclusion Criteria:

  • Patients with ASA physical status 4-5
  • Emergency surgery
  • Patients with chronic pain and related pain medications
  • Patients with hypersensitivity to general anesthesia drugs and pain medications
  • Patients with arrhythmia
  • Pregnant women
  • Others deemed unsuitable by the investigator
05

Study design

Phase
Not applicable
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Outcomes assessor)
Enrollment
86 participants (estimated)

Study arms

  • Experimental
    goal-directed analgesia using ANI monitoring

    Device: Analgesia/Nociception Index (ANI) monitoring

  • Active comparator
    Standard monitoring

    Device: Standard monitoring

Interventions

  • DeviceAnalgesia/Nociception Index (ANI) monitoring

    intraoperative analgesia was provided by infusion of remifentanil via target controlled infusion mode, which was controlled according to ANI monitor.

  • DeviceStandard monitoring

    intraoperative analgesia was provided by infusion of remifentanil via target controlled infusion mode, which was controlled according to the clinician's decision

06

What researchers measure

Primary outcomes

  1. Postoperative QoR-15K score

    Korean-translated QoR-15K (15-item Quality of Recovery (QoR-15) scale, minimum 0, maximum 150, higher scores mean a better outcome ) scores assessed by participants blinded to arm assignment 24 hours after surgery.

    Time frame: 24 hours after the end of surgery

Secondary outcomes

  1. Patient satisfaction

    Postoperative satisfaction as assessed by study participants blinded to group assignment, recorded on an NRS scale from a low of 0 to a high of 10.

    Time frame: 24 hours after the end of surgery

  2. intraoperative opioid consumption

    total dose of remifentanil consumption during surgery

    Time frame: during surgery

  3. intraoperative non-opioid consumption

    total dose of non-opioid consumption during surgery

    Time frame: during surgery

  4. intraoperative use of vasoactive drugs

    total dose of vasoactive drugs during surgery

    Time frame: during surgery

  5. The time-weighted average of the segments of the total anesthesia time where the ANI value did not remain above 50 and below 70.

    Time frame: during surgery

  6. Percentage of time with a deviation of more than ±20% from the mean blood pressure measured on the ward as a percentage of total anesthesia time

    Time frame: during surgery

  7. estimated blood loss

    Time frame: during surgery

  8. total fluid administration during surgery

    Time frame: during surgery

  9. extubation time

    Time frame: from the end of surgery to endotracheal tube extubation, up to 30 minutes

  10. number of participants with postoperative nausea vomiting

    Time frame: 24 hours after the end of surgery

  11. number of participants with postoperative opioid-related side effects (constipation, pruritis, dizziness, dry mouth, somnolence)

    Time frame: 24 hours after the end of surgery

  12. Total postoperative opioid consumption

    Time frame: 24 hours after the end of surgery

  13. Total postoperative non-opioid consumption

    Time frame: 24 hours after the end of surgery

  14. postoperative pain measured by numerical rating scale (NRS) scale (minimum 0, maximum 10, higher scores mean worse outcome)

    Time frame: 24 hours after the end of surgery

07

Study locations

1 of 1 sites recruiting
  • Seoul National University Children's Hospital
    Seoul, 03080, Korea, Republic of
    Recruiting
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jan 16, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT06205355
Lead sponsor
Seoul National University Hospital
Responsible party
Eun-hee Kim (professor, Seoul National University Hospital) — Principal investigator
First posted
Jan 16, 2024
Start date
Jan 25, 2024 (estimated)
Primary completion
Dec 25, 2026 (estimated)
Completion
Dec 30, 2026 (estimated)
Last update
Jan 16, 2024

Oversight

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

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