Dexmedetomidine infusion to reduce intraoperative remifentanil use during laparoscopic abdominal surgery
Official title: The Impact of a Dexmedetomidine Perfusion on Intraoperative Remifentanil Consumption: a Randomized Controlled Trial
Run by Ciusss de L'Est de l'Île de Montréal · NCT06684197 · Data updated 2026-11-12
This trial tests whether giving a dexmedetomidine infusion during laparoscopic abdominal surgery can lower the amount of remifentanil needed during the operation.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years to 80 Years |
| Sex | All |
| Enrollment | 72 (estimated) |
| Sponsor | Ciusss de L'Est de l'Île de Montréal Academic / other |
| Locations | 1 site (Montreal, Quebec) |
| Status | Recruiting |
| Started | May 9, 2025 |
| Main results expected | November 2026 |
| Study ends | November 2026 |
| Registry record updated | October 23, 2026 |
| Trial ID | NCT06684197 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults with ASA physical status I–III undergoing laparoscopic abdominal surgery.
✕Probably not a fit
Patients who do not respond to dexmedetomidine or who experience adverse effects from the drug may not benefit.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This randomized controlled trial investigates whether an intraoperative infusion of dexmedetomidine, compared with placebo, reduces intraoperative remifentanil consumption in ASA I–III patients undergoing laparoscopic abdominal surgery. The regimen leverages dexmedetomidine’s sedative, analgesic, and sympatholytic properties to potentially spare opioids. The study builds on prior data suggesting opioid-sparing effects in various surgeries and aims to extend findings to ASA 3 patients undergoing laparoscopic procedures. Outcomes focus on intraoperative opioid use with consideration of safety and related hemodynamic effects. The trial is conducted at Hôpital Maisonneuve-Rosemont in Montreal, led by CIUSSS de l'Est de l'Île de Montréal.
Why it matters
Potential benefit: If successful, patients could experience less intraoperative opioid exposure, with potential reductions in opioid-related side effects and faster recovery.
How similar studies have gone: Previous trials in various surgeries have shown reductions in intraoperative remifentanil with dexmedetomidine, though results vary by setting and patient population.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * ASA 1-3 * Laparascopic surgery (including general surgery, gynecology, urology) a small abdominal incision (less than 5 cm) will be tolerated. Exclusion Criteria: * Patient refusal * Chronic use of opioids * Allergy to medication used in the trial * Pregnant or breastfeeding women * Contraindications to dexmedetomidine (Bradycardia, arrythmia or pace- maker, severe ventricular dysfunction)
Where it's running
-
Hôpital Maisonneuve-Rosemont
Montreal, Quebec, Canada Recruiting
Study contacts
- Study coordinator: Olivier Verdonck
- Email: overdonck@gmail.com
- Phone: +15142523426
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.