Anesthetic Optimization in Scoliosis Surgery
| Status: | Completed |
|---|---|
| Conditions: | Depression, Post-Surgical Pain, Orthopedic, Pulmonary |
| Therapuetic Areas: | Musculoskeletal, Psychiatry / Psychology, Pulmonary / Respiratory Diseases, Orthopedics / Podiatry |
| Healthy: | No |
| Age Range: | 10 - 18 |
| Updated: | 7/1/2018 |
| Start Date: | November 2015 |
| End Date: | August 15, 2017 |
Evaluation of an Anesthetic Optimization Technique in Adolescent Idiopathic Scoliosis Surgery
The standard anesthetic care plan for people having adolescent idiopathic scoliosis surgery
will be accompanied by a pharmacokinetic simulation of the administered drugs to suggest
opportunities to adjust drug doses to achieve tolerable pain control after surgery, avoid
respiratory depression and allow patients to respond quickly either during intraoperative
testing or at the conclusion of surgery.
will be accompanied by a pharmacokinetic simulation of the administered drugs to suggest
opportunities to adjust drug doses to achieve tolerable pain control after surgery, avoid
respiratory depression and allow patients to respond quickly either during intraoperative
testing or at the conclusion of surgery.
As part of this study, anesthesiologists will be given additional data on the expected drug
effects based on a computer simulation. The data will be provided as a suggestion and will be
used together with all the other information normally used to keep the study subjects safely
asleep during surgery. In addition, data will be collected from the medical history and on
postoperative pain control and medication side effects for the first 24 hours. Specifically,
study subjects will be asked to rate their pain on a 10-point scale after they wake up from
surgery and once they arrive in the pediatric intensive care unit. Measures of the time from
the end of surgery until the study subjects are awake and out of the operating room will also
be collected.
effects based on a computer simulation. The data will be provided as a suggestion and will be
used together with all the other information normally used to keep the study subjects safely
asleep during surgery. In addition, data will be collected from the medical history and on
postoperative pain control and medication side effects for the first 24 hours. Specifically,
study subjects will be asked to rate their pain on a 10-point scale after they wake up from
surgery and once they arrive in the pediatric intensive care unit. Measures of the time from
the end of surgery until the study subjects are awake and out of the operating room will also
be collected.
Inclusion Criteria:
- American Society of Anesthesiologists (ASA) class 1-2
- At least 10 years of age and not older than 18 years of age
- Diagnosis of idiopathic adolescent scoliosis
Exclusion Criteria:
- Currently pregnant
- Currently breastfeeding
- Currently being treated with opiates
- Currently being treated with alpha2 agonists
- Currently being treated with anticonvulsants
- Currently being treated with antidepressants
- History of significant restrictive lung disease
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