Pain medicine

Haemodynamic effects of methoxyflurane versus fentanyl and placebo in hypovolaemia: a randomised, double-blind crossover study in healthy volunteers

BJA OpenPublished Randomised controlled trial

Authors' conclusion

The present study does not indicate that methoxyflurane has significant adverse haemodynamic effects in conscious adults experiencing hypovolaemia.

Study context

Population
Healthy volunteers exposed to experimental hypovolaemia (lower body negative pressure model)crossover
Participants
15 volunteers
Comparison
Methoxyflurane vs Fentanyl vs Placebo
Primary endpoint
Effect of treatment on changes in CO during lower body negative pressure
Methodological detailsdouble-blinded, placebo-controlled, three-period crossover, healthy volunteers
  • Double-blinded
  • Placebo-controlled
  • Three-period crossover
  • Healthy volunteers

Primary result

As reported in the abstract

Changes in CO
  • No statistically significant effect of treatment on changes in CO during lower body negative pressure

Secondary outcomes

OutcomeHR (95% CI)P value
Time to haemodynamic decompensationMethoxyflurane vs Fentanyl1.9 (0.4–3.4)P = 0.010
OutcomeHR (95% CI)P value
Time to haemodynamic decompensationMethoxyflurane vs Placebo · no significant difference−1.3 (−2.8 to 0.23)P = 0.117

Changes in stroke volume and MAP

No statistically significant effect of treatment on changes in stroke volume or MAP

Original publication

Haemodynamic effects of methoxyflurane versus fentanyl and placebo in hypovolaemia: a randomised, double-blind crossover study in healthy volunteers. BJA Open. Published 28 June 2023. doi:10.1016/j.bjao.2023.100204

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