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Nociception Level Index Monitoring During Cesarean Section
Sponsor: Istinye University
Summary
This prospective randomized controlled trial evaluated the effect of nociception level (NOL) index-guided intraoperative analgesia on postoperative pain management in patients undergoing elective cesarean section under general anesthesia. Sixty patients were randomly assigned to either NOL-guided analgesia or standard intraoperative monitoring. The primary outcome was postoperative pain intensity assessed using the visual analog scale (VAS) during the first 24 hours after surgery. Secondary outcomes included postoperative opioid requirements and time to first breastfeeding. The study aimed to determine whether objective intraoperative nociception monitoring could improve postoperative analgesia and enhance early maternal recovery.
Official title: Effect of Nociception Level Index-Guided Intraoperative Analgesia on Postoperative Pain Management During Elective Cesarean Section
Key Details
Gender
FEMALE
Age Range
18 Years - Any
Study Type
INTERVENTIONAL
Enrollment
60
Start Date
2023-08-15
Completion Date
2024-02-15
Last Updated
2026-07-22
Healthy Volunteers
No
Interventions
Nociception Level Index Monitoring
The Nociception Level (NOL) index was used to guide intraoperative fentanyl administration after fetal delivery.
Standard Intraoperative Monitoring
Standard intraoperative monitoring was used for routine anesthetic and analgesic management without NOL index guidance.
Locations (1)
University of Health Sciences Türkiye Haseki Training and Research Hospital
Istanbul, Sultangazi, Turkey (Türkiye)