Objective Measurement of the Mechanical Pain Threshold With an Algometer for Predicting Intraoperative Opioid Consumption in Patients Who Will be Operate by Thoracotomy and Sternotomy in Cardiac Surgery
The Usefulness of Preoperative Measurement of the Mechanical Pain Threshold for Predicting Intraoperative Opioid Consumption
Université Libre de Bruxelles
100 participants
Jan 24, 2026
INTERVENTIONAL
Conditions
Summary
The study aims to test the relationship between the preoperative pain threshold and the intraoperative need for opioids. The objective of the study is to try to predict a patient's analgesic needs based on their objectively determined preoperative pain threshold. The investigators will include patients scheduled for elective cardiovascular surgery. The investigators will investigate the correlation between the preoperative pain threshold and intraoperative/postoperative opioid consumption in a highly standardized anesthesia setting.
Eligibility
Inclusion Criteria1
- ASA 3 patients with scheduled cardiac surgery by thoracotomy or sternotomy
Exclusion Criteria10
- Patient refusal,
- A body mass index (BMI) > 30 kg/m²,
- Allergies to any medication used in typical cardiac anesthesia,
- Chronic pain or regular use of analgesics,
- Severe ventricular dysfunction, pulmonary hypertension, poorly controlled arhythmia,
- Non-elective surgery.
- Patients enrolled in another study protocol within the previous 3 months,
- Pregnant or breastfeeding patients,
- Patients with severe renal or hepatic impairment.
- Patients for whom the study will be stopped in the event of blood loss greater than or equal to one liter, or for any other severe perioperative surgical complication.
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Interventions
The measure of the minimal pain threshold is taken the day before the cardiac surgery
Locations(1)
View Full Details on ClinicalTrials.gov
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NCT07513974