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Sevoflurane Protective Effect on Ischemia Reperfusion Injury in Microvascular Surgery

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ClinicalTrials.gov Identifier: NCT01972230
Recruitment Status : Completed
First Posted : October 30, 2013
Last Update Posted : April 7, 2016
Sponsor:
Information provided by (Responsible Party):
Ester Forastiere, Regina Elena Cancer Institute

Brief Summary:
This study aimed to evaluate the possible protective effect of anesthetic technique balanced (BAL) compared to total intravenous anesthetic technique (TIVA-TCI) in ischemia reperfusion injury in microvascular flap in plastic surgery. The investigators will evaluate the viability of the flap using tissue oximetry monitoring and the level of biochemical markers in a circle at the end of the intervention.

Condition or disease Intervention/treatment Phase
Microvascular Breast Flap in Plastic Surgery Drug: Sevoflurane Drug: Diprivan + Remifentanil TCI Not Applicable

Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 128 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Study Start Date : January 2013
Actual Primary Completion Date : April 2015

Resource links provided by the National Library of Medicine

Drug Information available for: Sevoflurane
U.S. FDA Resources

Arm Intervention/treatment
Experimental: Bilanced group

Sevofluorane adjusted to obtain an Et-Sevo of 1.8-2%, for all the time of the surgical procedure.

Remifentanyl TCI adjusted according to protocol to maintain the range of 1-3 ng / ml.

Drug: Sevoflurane
Active Comparator: TCI group
Propofol 3-4 mg / ml and remifentanyl 1-3 ng / ml according to protocol TCI
Drug: Diprivan + Remifentanil TCI



Primary Outcome Measures :
  1. tissutal oximetry average value of the flap measured with INVOS (In Vivo Optical Spectroscopy) system continuously. [ Time Frame: 24 hours from the end of intervention ]


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Ages Eligible for Study:   18 Years to 75 Years   (Adult, Senior)
Sexes Eligible for Study:   Female
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • age > 18 yr
  • ASA (American Society of Anesthesiology) I-II

Exclusion Criteria:

  • Known unusual reaction to anesthetic drugs
  • Evaluation of anesthesia increased risk for malignant hyperthermia.
  • History of vascular disease.
  • History of bleeding diathesis.
  • Tabagism

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT01972230


Locations
Italy
Regina Elena Cancer Institute
Rome, RM, Italy, 00144
Sponsors and Collaborators
Regina Elena Cancer Institute

Responsible Party: Ester Forastiere, director, Regina Elena Cancer Institute
ClinicalTrials.gov Identifier: NCT01972230     History of Changes
Other Study ID Numbers: 17713
Claudia ( Registry Identifier: Claudia )
First Posted: October 30, 2013    Key Record Dates
Last Update Posted: April 7, 2016
Last Verified: April 2016

Additional relevant MeSH terms:
Remifentanil
Propofol
Sevoflurane
Analgesics, Opioid
Narcotics
Central Nervous System Depressants
Physiological Effects of Drugs
Analgesics
Sensory System Agents
Peripheral Nervous System Agents
Hypnotics and Sedatives
Anesthetics, Intravenous
Anesthetics, General
Anesthetics
Platelet Aggregation Inhibitors
Anesthetics, Inhalation