ANI-Guided Anesthetic Desflurane Consumption
Recruiting now · Not applicable
Conditions studied: Postoperative Pain, General Anesthesia, Laparoscopic Cholecystectomy
In brief
General anesthesia requires precise titration of inhaled anesthetics like desflurane and opioids like remifentanil to balance sedation, analgesia, and hemodynamic stability. The Analgesia/Nociception Index (ANI), derived from heart rate variability (HRV), quantifies parasympathetic tone to assess nociception-antinociception balance on a 0-100 scale, with lower values indicating nociceptive stress. ANI analyzes high-frequency HRV components, reflecting parasympathetic inhibition during painful stimuli, making it a reliable indicator of intraoperative nociception. Studies validate the utility of ANI in detecting nociceptive events during laparoscopic surgery. ANI-guided opioid titration reduces opioid consumption and stabilizes hemodynamics, enhancing perioperative outcomes.
Key facts
- Study ID
- NCT06982209
- Run by
- Wonkwang University Hospital
- People needed
- 125
- Starts
- 2026-07-02
- Expected to finish
- 2026-08-30
- Last updated by the study team
- 2026-07-06
Who can join
Age: 19 and older, up to 65. Sex: any. Healthy volunteers: not accepted.
You may qualify if…
- aged 19-65 years, American Society of Anesthesiologists (ASA) physical status I-II, scheduled for elective laparoscopic cholecystectomy under general anesthesia.
You may not qualify if…
- chronic pain, preoperative opioid use, cardiac arrhythmias, autonomic dysfunction, or contraindications to desflurane or remifentanil.
Where it is running
- Wonkwang University School of Medicine Hospital — Iksan, Jeollabuk-do, South Korea (enrolling)
Full record on ClinicalTrials.gov
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