Comparison of the Effects of Phenylephrine and Norepinephrine on Cardiac Function During Carotid Artery Surgery
Recruitment status was Recruiting
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Purpose
This will be a prospective, randomized, double-blinded, cross-over clinical trial to compare the effects of phenylephrine or norepinephrine on cardiac function during carotid artery surgery in patients under general anesthesia. The effect of the vasopressor on cardiac function will be measured using electrocardiography, transesophageal echocardiography and cardiac troponin I intraoperatively and postoperatively. We will use a cross-over pattern since both drugs exhibit rapid onset and short duration of action. We hypothesize that there will be less myocardial ischemia associated with the use of norepinephrine when compared with phenylephrine during carotid artery surgery.
| Condition | Intervention |
|---|---|
|
Vasopressor Agents Endarterectomy, Carotid Echocardiography, Transesophageal |
Drug: Comparison of Effects of Phenylephrine and Norepinephrine |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Intervention Model: Crossover Assignment Masking: Double-Blind |
| Official Title: | Comparison of the Effects of Phenylephrine and Norepinephrine on Cardiac Function During Carotid Cross-Clamping During Carotid Endarterectomy Under General Anesthesia |
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Elective carotid endarterectomy under general anesthesia
- > 18 years old
- Written informed consent
Exclusion Criteria:
- Contraindication to general anesthesia
- Contraindication to transesophageal anesthesia
- esophageal disease
- esophageal stricture
- history of esophageal or gastric bleeding
- esophageal anatomic abnormality
- past esophageal or gastric surgery
- severe dysphagia
Contacts and Locations| Contact: Rosemary A Craen, MD, FRCPC | (519) 663-3022 | rosemary.craen@lhsc.on.ca |
| Contact: Hélène G Pellerin, MD, FRCPC | (519) 663-3022 | hpelleri@uwo.ca |
| Canada, Ontario | |
| University Hospital, LHSC | Recruiting |
| London, Ontario, Canada, N6A 5A5 | |
| Contact: Rosemary A Craen, MD, FRCPC (519) 663-3022 Rosemary.Craen@lhsc.on.ca | |
| Principal Investigator: Rosemary A Craen, MD, FRCPC | |
| Principal Investigator: | Rosemary A Craen, MD, FRCPC | Associate Professor University of Western Ontario |
More Information
No publications provided
| ClinicalTrials.gov Identifier: | NCT00294606 History of Changes |
| Other Study ID Numbers: | R-05-941 |
| Study First Received: | February 17, 2006 |
| Last Updated: | February 17, 2006 |
| Health Authority: | Canada: Health Canada |
Keywords provided by Lawson Health Research Institute:
|
vasopressor agents carotid endarterectomy cardiac function transesophageal echocardiography wall motion abnormalities |
Additional relevant MeSH terms:
|
Norepinephrine Phenylephrine Oxymetazoline Sympathomimetics Autonomic Agents Peripheral Nervous System Agents Physiological Effects of Drugs Pharmacologic Actions Vasoconstrictor Agents Cardiovascular Agents Therapeutic Uses |
Adrenergic alpha-Agonists Adrenergic Agonists Adrenergic Agents Neurotransmitter Agents Molecular Mechanisms of Pharmacological Action Adrenergic alpha-1 Receptor Agonists Cardiotonic Agents Mydriatics Nasal Decongestants Respiratory System Agents Protective Agents |
ClinicalTrials.gov processed this record on May 16, 2013