Bilateral Bispectral Index (BIS)-Monitoring in Trauma Surgery
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Purpose
The principal objective is to notice the relevance of timing performance of femoral block for knee replacement surgery during general anesthesia and analyze the relationship with bilateral bispectral index (BIS) monitoring during induction and maintenance of anesthesia. Otherwise the investigators try to investigate if the timing of performance of this block influence in postoperative variables as pain or blood loss.
| Condition |
|---|
|
Knee Replacement Surgery |
| Study Type: | Observational |
| Study Design: | Observational Model: Cohort Time Perspective: Prospective |
| Official Title: | Bilateral Bispectral Index Changes During Knee Replacement Surgery With and Without Femoral Block |
- Sevoflurane requirements [ Time Frame: 6 months ] [ Designated as safety issue: Yes ]
Combined ( femoral block and general anesthesia) or balanced anesthesia ( intravenous analgesics and general anesthesia) is evaluated on the requirements of inhalational hypnotics during surgery. Schedule time when BIS has to be in proper range (40-60): T1 T2 T3 T4 T5 T6
T1 Induction T2 Inflated cuff ischemia T3 Incision T4 Unlocking cuff ischemia T5 End surgery T6 Time to wake the patient from the close of the sevoflurane vaporizer
Each time include a period of adjustment in 5 minutes
- Intraoperative and postoperative opiates requirements and relations with CVI [ Time Frame: Time surgery and 24,48 and 72 h postoperative ] [ Designated as safety issue: Yes ]
| Enrollment: | 85 |
| Study Start Date: | February 2010 |
| Study Completion Date: | February 2011 |
| Primary Completion Date: | February 2011 (Final data collection date for primary outcome measure) |
| Groups/Cohorts |
|---|
|
Femoral block preoperative
In one group (T1) with performance of femoral block before general anesthesia and administration of bolus of local anesthetic through stimulating catheter (combined anesthesia)
|
|
Femoral block postoperative
In second group (T2) with a administration of local anesthetic through stimulating femoral catheter until awareness of patient (balanced anesthesia).
|
Eligibility| Ages Eligible for Study: | 50 Years to 90 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
| Sampling Method: | Non-Probability Sample |
ASA physical status I-III patients scheduled for total knee arthoplasty
Inclusion Criteria:
-
Exclusion Criteria:
ASA IV, patients with difficult airway management, patients with antecedent of cerebral ischemia, presence of atrioventricular fistula, patients with absent distal pulses or history of vascular surgery in the involved limbs, patients with high risk of deep vein thrombosis.-
Contacts and Locations| Spain | |
| Antoni Sabate Pes | |
| Hospitalet de Llobregat, Barcelona, Spain, 08907 | |
| Principal Investigator: | Antoni Sabate Pes, MD PhD DEEA | Hospital Universitari Bellvitge |
More Information
No publications provided
| Responsible Party: | Hospital Universitari de Bellvitge, Anesthesiology Department |
| ClinicalTrials.gov Identifier: | NCT01213602 History of Changes |
| Other Study ID Numbers: | SAB-ANE-2010-01 |
| Study First Received: | October 1, 2010 |
| Last Updated: | July 22, 2011 |
| Health Authority: | Spain: Spanish Agency of Medicines |
Keywords provided by Hospital Universitari de Bellvitge:
|
Trauma patients |
ClinicalTrials.gov processed this record on May 22, 2013