Effect of Intraoperative Magnesium on Remifentanil-induced Postoperative Hyperalgesia After Thyroidectomy
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ClinicalTrials.gov Identifier: NCT01025245 |
Recruitment Status :
Completed
First Posted : December 3, 2009
Last Update Posted : June 16, 2010
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Condition or disease | Intervention/treatment | Phase |
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Hyperalgesia | Drug: remifentanil, MgSO4 | Phase 4 |
Study Type : | Interventional (Clinical Trial) |
Actual Enrollment : | 84 participants |
Intervention Model: | Parallel Assignment |
Masking: | None (Open Label) |
Primary Purpose: | Prevention |
Study Start Date : | November 2009 |
Actual Primary Completion Date : | January 2010 |
Actual Study Completion Date : | January 2010 |

Arm | Intervention/treatment |
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Experimental: remifentanil, MgSO4
Experimental 1 : Intraoperative remifentanil infusion at 0.2 ㎍/㎏/min and MgSO4 30 mg/kg IV at the induction followed by intraoperative infusion at 10 mg/kg/hr Drug : remifentanil, MgSO4 Experimental 2 : Intraoperative remifentanil infusion at 0.2 ㎍/㎏/min and normal saline Drug : remifentanil Active comparator : Intraoperative remifentanil infusion at 0.05 ㎍/㎏/min and normal saline Drug : remifentanil
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Drug: remifentanil, MgSO4
Patients undergoing thyroidectomy will be randomly assigned to one of three groups. Remifentanil will be infused intraoperatively at 0.05 ㎍/㎏/min (group Ⅰ) or 0.2 ㎍/㎏/min (group Ⅱ & Ⅲ). Patients in group Ⅲ will be received 30 ㎎/㎏ MgSO4 at the induction of general anesthesia followed by a maintenance infusion of 10 ㎎/㎏/hr intraoperatively until skin closure. |
- Tactile pain thresholds adjacent to the surgical wound assessed by von Frey hair before the induction and at postoperative 24 & 48 hrs [ Time Frame: postoperative 48 hrs ]

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Ages Eligible for Study: | 20 Years to 65 Years (Adult, Older Adult) |
Sexes Eligible for Study: | All |
Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Patients undergoing thyroidectomy,
- Age 20-65,
- American Society of Anesthesiologists physical status classification I or II.
Exclusion Criteria:
- History of chronic pain, Regular use of analgesic, antiepileptic or antidepressive drugs,
- History of drug & alcohol abuse,
- Psychiatric disorder,
- Use of opioids within 24hrs,
- Renal disease with decreased GFR,
- Neuromuscular disease, Severe cardiac disease.

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT01025245
Korea, Republic of | |
Severance Hospital | |
Seoul, Korea, Republic of |
Responsible Party: | Yuen Hee Shim / Associate professor of Department of Anesthesiology and Pain Medicine and Anesthesia and Pain Reseach Institute, Yonsei University College of Medicine, Seoul, Republic of Korea |
ClinicalTrials.gov Identifier: | NCT01025245 |
Other Study ID Numbers: |
4-2009-0511 |
First Posted: | December 3, 2009 Key Record Dates |
Last Update Posted: | June 16, 2010 |
Last Verified: | June 2010 |
Remifentanil induced postoperative hyperalgesia |
Hyperalgesia Somatosensory Disorders Sensation Disorders Neurologic Manifestations Nervous System Diseases Remifentanil Analgesics, Opioid |
Narcotics Central Nervous System Depressants Physiological Effects of Drugs Analgesics Sensory System Agents Peripheral Nervous System Agents |