Preoperative Maxigesic to reduce remifentanil needs during surgery
Official title: The Effect of Preoperative Maxigesic® Administration on Analgesic Nociception Index (ANI) Guided Remifentanil Administration
Run by Ajou University School of Medicine · NCT06015711 · Data updated 2026-11-12
We'll see if giving Maxigesic (intravenous ibuprofen plus acetaminophen) before general anesthesia reduces how much remifentanil adults aged 19–60 need during surgery.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 19 Years to 60 Years |
| Sex | All |
| Enrollment | 96 (estimated) |
| Sponsor | Ajou University School of Medicine Academic / other |
| Locations | 1 site (Suwon, Gyeonggi-do) |
| Status | Recruiting |
| Started | August 30, 2023 |
| Main results expected | August 31, 2026 |
| Study ends | December 31, 2026 |
| Registry record updated | October 3, 2025 |
| Trial ID | NCT06015711 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults aged 19–60 with ASA physical status 1–3 who are scheduled for surgery under general anesthesia and have no contraindications to NSAIDs or acetaminophen.
✕Probably not a fit
People who are pregnant, have liver or kidney disease, asthma, NSAID or acetaminophen allergy, chronic pain or opioid dependence, active alcohol use disorder, psychiatric medication use, or a history of gastrointestinal ulcer or bleeding are excluded and unlikely to benefit.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
The trial gives adults scheduled for general anesthesia a preoperative dose of Maxigesic (combined IV ibuprofen and acetaminophen) and records intraoperative remifentanil use. Intraoperative nociception and opioid dosing are monitored, with total remifentanil requirement as the main outcome. The Analgesia Nociception Index (ANI), a heart-rate variability–based monitor, is used to track real-time nociception during anesthesia. The study is performed at Ajou University School of Medicine in Suwon among ASA class 1–3 patients aged 19–60.
Why it matters
Potential benefit: If successful, preoperative Maxigesic could lower intraoperative opioid exposure and reduce postoperative pain and opioid-related side effects.
How similar studies have gone: Prior studies show preoperative ibuprofen or acetaminophen can reduce postoperative opioid use, but using them specifically to lower intraoperative remifentanil requirement is novel and unproven.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Adult patients (19-60 years old) with ASA physical status 1, 2, 3 * Scheduled surgery under general anesthesia Exclusion Criteria: * The patient does not conset * Pregnancy * hepatic disorder * Renal disorder * Asthma * Hypersensitivity to the NSAIDs or acetaminophen * Patients receiving chronic pain therapy * Drug dependence * Patients taking psychiatric drugs * Alcoholics * History of gastrointestinal ulcer or bleeding
Where it's running
-
Ajou university school of medicine
Suwon, Gyeonggi-do, South Korea Recruiting
Study contacts
- Principal investigator: In Kyong Yi, MD — Ajou University School of Medicine
- Study coordinator: In Kyong Yi, MD
- Email: lyrin01@gmail.com
- Phone: +82-31-219-5579
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
-
Serratus vs Erector Spinae Block for Pain After Unilateral Breast Surgery
This trial tests whether serratus posterior superior intercostal plane block or erector spinae plane block reduces chronic pain 3 months after unilateral breast surgery in adult women.
-
Using mHealth to Help Black Adults in the Midwest With Opioid/Stimulant Use and Mood Symptoms
This study tests a mobile health program to support recovery and mood in Black adults who use opioids or stimulants and are seeking treatment.
-
Targeting alcohol-opioid co-use among young adults with a new mobile health tool
A mobile health app is being tested to help young adults reduce drinking and opioid use when they occur together.
-
Dexa vs Dexmedetomidine with Bupivacaine in TAP Block for Laparotomy Analgesia
This study tests whether adding dexamethasone or dexmedetomidine to bupivacaine in a TAP block improves postoperative pain control after laparotomy.
-
Stress response with desflurane versus opioid-free TIVA during weight-loss surgery
This study will test whether adding the inhaled anesthetic desflurane to opioid-free anesthesia changes the body's perioperative stress response in people having bariatric (weight-loss) surgery.
-
Erector Spinae Block vs Paravertebral Block for Chronic Pain After Mastectomy
This trial tests whether an erector spinae block can better prevent chronic pain after mastectomy than a paravertebral block in adults 18–80.
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.