Effect of MGRNOX Index-Guided General Anesthesia on Opioid Consumption in Patients:A Randomized Controlled Trial

Status: Recruiting
Location: See location...
Intervention Type: Device
Study Type: Interventional
Study Phase: Not Applicable
SUMMARY

1. Pain management is a crucial part of general anesthesia surgery. Nociception monitoring can help anesthesiologists better titrate the use of intraoperative analgesic drugs, especially the opioid. 2. Although a variety of nociception monitoring devices have been developed to date, there is not a specific monitoring indicator that serves as the gold standard to objectively guide analgesic management in general anesthesia. 3. The MGRNOX index, which is derived from electroencephalogram (EEG), is used to reflect the correlation between noxious stimuli and opioid analgesics in a state of general anesthesia by converting and quantifying the EEG signals collected by the instrument. However, no studies have so far verified the effect of the MGRNOX index-guided analgesic management of general anesthesia on the consumption of opioids in patients. 4. This study aims to explore the effect of MGRNOX index-guided general anesthesia on opioid consumption in patients undergoing laparoscopic cholecystectomy and the primary hypothesis of our study is that using the MGRNOX index to guide intraoperative pain management during general anesthesia can significantly reduce the consumption of remifentanil during the surgery.

Eligibility
Participation Requirements
Sex: All
Minimum Age: 18
Maximum Age: 64
Healthy Volunteers: f
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• Age ≥18 years old and \< 65 years old;

• American Society of Anesthesiologists (ASA) class I-II;

• Scheduled to undergo elective laparoscopic cholecystectomy undergeneral anesthesia (without epidural anesthesia, local blocks, or infiltration)

Locations
Other Locations
China
Peking University Shenzhen Hospital
RECRUITING
Shenzhen
Contact Information
Primary
Tao Luo, MD,PHD
luotao_wh@yahoo.com
13510820779
Time Frame
Start Date: 2025-06-28
Estimated Completion Date: 2026-05-30
Participants
Target number of participants: 112
Treatments
Experimental: MGRNOX index-guided analgesia group
After anesthesia induction, the remifentanil plasma target concentration was adjusted intraoperatively to maintain the MGRNOX index within 30-50,but mean arterial pressure and heart rate were additionally monitored and considered.
Placebo_comparator: Standard Clinical Care Group
After anesthesia induction, the remifentanil plasma target concentration was adjusted intraoperatively based on mean arterial pressure and heart rate.
Sponsors
Leads: Peking University Shenzhen Hospital

This content was sourced from clinicaltrials.gov