Using High-Dose Sufentanil Intrathecally For Painless Induction And Postoperative Pain Management In Gastrointestinal Cancer Surgeries

Document Type : Original Article

Authors

1 Associate Professor, Department of Anesthesia, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran

2 Associate Professor, Department of Epidemiology , School of Health, Mashhad University of Medical Sciences, Mashhad, Iran

3 Anesthesiologist, Department of Anesthesiology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran

Abstract

Background: Intrathecal opioids have demonstrated efficacy in pain management during and after surgery, necessitating further exploration across various surgical procedures. This study examines the use of higher doses of intrathecal synthetic opioids (Sufentanil) for pain control in gastrointestinal cancer surgeries, highlighting the need for additional research to establish conclusive outcomes.
 
Methods: A single-center clinical trial with a control group was conducted, involving adult non-addicted individuals eligible for gastrointestinal cancer surgeries. The intervention group (n=25) received intrathecal Sufentanil (0.2 mcg/kg) before anesthesia induction, while the control group (n=25) received intravenous Sufentanil (0.3 mcg/kg) at induction. The variables between the two groups were compared using chi-square tests, independent t-tests, and exact tests.
 
Results: The average age in the intrathecal group was 55.1 years ± 9.3, and in the intravenous administration group was 54.2 years ± 13.2, showing no significant difference (p=0.4). A higher proportion of patients in the intrathecal group required three analgesic doses (52%) compared to the IV group, where 44% needed four doses during surgery, with no significant variance observed between groups (p=0.3). Postoperative pain scores were lower in the intrathecal group than in the intravenous administration group (0.8 ± 1.7 vs 0.66 ± 5.12, p<0.001).
 
Conclusion: Based on our study findings, Intrathecal Sufentanil at a dose of 0.2 mcg/kg reduces postoperative pain by one-third compared to IV administration in gastrointestinal cancer surgeries.

Keywords

Acknowledgements: The authors sincerely appreciate the support and collaboration of colleagues, medical staff, and all those who contributed to this study. Their assistance and insights were invaluable in completing this research.

 

Availability of data and materials: The data and materials related to this study are available from the corresponding author, Naser Naderi, upon reasonable request.

 

Conflicts of interests: The authors declare that they have no conflicts of interest.

 

Consent for publication: Not Applicable

 

Ethics approval and consent to participate: This study was conducted based on research project No. 990848, approved on 2020/10/03, and the ethics committee approval No. IR.MUMS.MEDICAL.REC.1399.580, approved on 2020/11/17, with the title: "Using high-dose Sufentanil intrathecally for painless induction and postoperative pain management in gastrointestinal cancer surgeries." Additionally, the study adhered to the principles outlined in the Declaration of Helsinki.

 

Financial disclosure: The authors declare that no financial support, grants, or funding was received for the research, authorship, and/or publication of this manuscript.

 

Author contributions: All authors contributed equally to the research, writing, and revision of this manuscript.

 

Open Access Policy: This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. To view a copy of this licence, visit https://creativecommons.org/licenses/by/4.0/

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