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Comparison of the Coughing Frequency of Remimazolam Total Intravenous Anesthesia Versus Inhalational Anesthesia

Yonsei University logo

Yonsei University

Status

Completed

Conditions

Cough
Thyroid Neoplasm

Treatments

Drug: Total intravenous anesthesia with Byfavo
Drug: Inhalation anesthesia with Sevoflurane

Study type

Interventional

Funder types

Other

Identifiers

NCT06275425
4-2023-0429

Details and patient eligibility

About

This study is a randomized controlled trial. Adult patients undergoing thyroidectomy under general anesthesia at Severance Hospital and Yonsei Cancer Center are included in tis study. For intervention group, patients receive anesthesia with total intravenous remimazolam, while for control group, patients receive anesthesia with inhalation anesthetic.

The primary end point of the study is to determine whether coughing during endotracheal tube extubation is less when anesthesia is maintained with intravenous remimazolam compared to inhalation anesthetics. The secondary end points are cough score (graded into 4 levels), frequency of reoperation due to postoperative bleeding, These include the frequency of hypertension during the extubation process and whether additional painkillers are used in the recovery room.

Enrollment

106 patients

Sex

All

Ages

19+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

Adult patients aged 19 years or older undergoing thyroidectomy under general anesthesia at Severance Hospital Cancer Center.

Exclusion criteria

  • Patients with American society of anesthesiologists physical status classification IV or higher.
  • Patients who are hypersensitive to remimazolam or inhalational anesthetic.
  • Patients with structural abnormalities in the upper airway or respiratory diseases.
  • Patients with a history of upper respiratory tract infection within the past 2 weeks.
  • Current smoker
  • Pregnant
  • Patients who have difficulty reading and understanding the informed consent form

Trial design

Primary purpose

Prevention

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

Double Blind

106 participants in 2 patient groups

Intervention
Experimental group
Description:
General anesthesia is maintained with intravenous administration of Byfavo.
Treatment:
Drug: Total intravenous anesthesia with Byfavo
Control
Active Comparator group
Treatment:
Drug: Inhalation anesthesia with Sevoflurane

Trial contacts and locations

1

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Data sourced from clinicaltrials.gov

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