Timing of opioid administration and breathing changes after surgery
Official title: The Relationship Between Timing of Opioid Administration and Postoperative Respiratory Depression.
Run by Wayne State University · NCT07227389 · Data updated 2026-11-12
This study watches adults who had general anesthesia and receive opioids after surgery to see if opioid timing and dose affect breathing changes measured by minute ventilation.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 18 Years to 85 Years |
| Sex | All |
| Enrollment | 52 (estimated) |
| Sponsor | Wayne State University Academic / other |
| Locations | 1 site (Detroit, Michigan) |
| Status | Recruiting |
| Started | February 1, 2026 |
| Main results expected | December 1, 2028 |
| Study ends | February 1, 2029 |
| Registry record updated | July 16, 2026 |
| Trial ID | NCT07227389 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults 18–85 undergoing general anesthesia with planned postoperative opioid analgesia and monitored in the PACU.
✕Probably not a fit
Patients not receiving postoperative opioids or those not in the PACU setting may not experience the study-related findings.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This observational study evaluates whether when and how much opioids are given after general anesthesia influences postoperative breathing, using minute ventilation as the main measure. It focuses on spontaneously breathing, non-intubated patients in the post-anesthesia care unit and looks for a drop of 20% or more in predicted minute ventilation. A secondary goal is to understand dose-related effects on minute ventilation. The study has been initiated by Wayne State University at Detroit Medical Center and aims to clarify the relationship between perioperative opioid use and postoperative respiratory depression in at-risk populations. Monitoring is performed with respiratory volume techniques to identify potential opportunities for safer analgesia strategies.
Why it matters
Potential benefit: If successful, findings could help tailor opioid use to minimize respiratory risks after surgery and improve patient safety in the PACU.
How similar studies have gone: Prior work has explored opioid-related respiratory depression, but this study adds real-time minute-ventilation assessment in spontaneously breathing, non-intubated postoperative patients.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Written informed consent * Adults ≥18 years of age and ≤85 years of age * Patients planned for general anesthesia with an expected anesthetic time of at least 2 hours * Patients expected to receive postoperative opioid analgesia Exclusion Criteria: * Non-operative procedure (imaging) * Patients not admitted to the PACU postoperatively * Use of patient-controlled analgesia systems * Female patients who are pregnant or breastfeeding * Patients with asymmetric lung disease * American Society of Anesthesiologists (ASA) classification V * Emergency surgery (ASA E Modifier)
Where it's running
-
Detroit Medical Center
Detroit, Michigan, United States Recruiting
Study contacts
- Principal investigator: Wael Saasouh, MD — Wayne State University
- Study coordinator: George M McKelvey, PhD
- Email: George.McKelvey@northstaranesthesia.com
- Phone: 3135986036
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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.