COGNITIVE - Cognitive Function After Sevoflurane or Propofol Anesthesia for Open-heart Operations
|Other Functional Disturbances Following Cardiac Surgery Memory Disorders||Drug: Diprivan (propofol, Astra Zeneca) Drug: Sevorane (sevoflurane, Abbott)||Phase 4|
|Study Design:||Allocation: Randomized
Intervention Model: Crossover Assignment
Masking: Double Blind (Participant, Outcomes Assessor)
Primary Purpose: Prevention
|Official Title:||COGNITIVE - Comparison of Cognitive Function After Sevoflurane or Propofol Anesthesia for Open-heart Operations|
- results of psychological examination [ Time Frame: 6 days, 3 and 12 months after surgery ]
- S-100B protein level in serum. NEECHAM delirium scale, stroke or other severe neurological impairment [ Time Frame: S-100B - 18 hours after surgery; Consciousness and/or neurological impairment - within 6 days after surgery. ]
|Study Start Date:||June 2007|
|Study Completion Date:||April 2015|
|Primary Completion Date:||April 2015 (Final data collection date for primary outcome measure)|
Active Comparator: 1
Drug: Diprivan (propofol, Astra Zeneca)
Total intravenous anesthesia with propofol
Other Name: propofol
Drug: Sevorane (sevoflurane, Abbott)
inhaled anesthesia with sevoflurane
Other Name: sevoflurane
Patients assigned to the "sevoflurane" group will be anesthetized with inhaled sevoflurane (induction and conduction of general anesthesia) and empirically administered fentanyl und pancuronium. During the CPB, sevoflurane will be delivered via the oxygenator of the CPB-machine.
Patients assigned to the "propofol" group will be anesthetized with continuous propofol infusion and empirically administered fentanyl and pancuronium.
The level of anesthesia will be monitored with BIS (bi-spectral index) - desirable level of 40 - 60.
Following preoperative data will be recorded: age, years of school education, NYHA-class, LVEF by TTE, comorbidities, glucosylated hemoglobin in patients with diabetes, non-invasive arterial blood pressure the day before the operation, smoked cigarettes, alcohol abuse.
Recorded data from operation: type of surgery, CBP duration, aortic clamp duration, duration of arterial hypotension (MAP < 60 mmHg) on CPB or SAP < 90 after CPB, the lowest perfusion gradient (MAP-CVP), the lowest pO2 in arterial blood and lowest blood oxygen saturation, lowest and average brain blood saturation (measured by INVOS), steroid dosis, aprotinin dosis, mannitol dosis on CPB, epiaortic echocardiography for aortic clamping, TEE before weaning from CPB with evaluation of deaeration of the left ventricle, highest serum glucose level, highest oesophageal temperature.
Data collected after operation: time to tracheal extubation, doses of catecholamines, consciousness disorders, CRP, S-100b protein, glucose level, core temperature, ICU stay, stay at the surgery department, hospital stay.
The patients will undergo a psychological examination four times: before the operation, before discharge from hospital (usually 4-6 days after the operation), 3 and 12 months after the operation. The psychological test for evaluating the cognitive modalities will include:
- verbal learning - the Rey's AVLT test
- direct verbal memory - number repeating attempt from the WAIS-R/PL test
- direct nonverbal memory - Memory Test of Geometric Figures by Benton
- operating memory test - TMT test
- the cognitive interference test - a modified Stroop test
- verbal fluence - according to the Boston Test of Aphasia
- concentration and work effectiveness - by the Number Symbol test by Wechsler.
- mood - Beck's depression scale
- NEECHAM Delirium Scale - during the first 24-36 hours after surgery
- the Gough's Adjective Test will be performed with in-house relatives of the patient for evaluation the eventual emotional and eventual personality changes
Neurological examination will be performed before and 6 days after surgery.
Please refer to this study by its ClinicalTrials.gov identifier: NCT00541918
|Department of Cardiac Anesthesiology, Medical University of Gdańsk|
|Gdańsk, Poland, 80-211|
|Medical Universty of Gdańsk, Department of Cardiac and Vascular Surgery|
|Gdańsk, Poland, 80-211|
|Study Director:||Romuald Lango, M.D., Ph.D.||Medical University of Gdańsk, Department of Cardiac Anesthesiology|