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Desflurane Versus Propofol in the Sitting Position

Primary Purpose

Cerebral Ischemia

Status
Completed
Phase
Not Applicable
Locations
Study Type
Interventional
Intervention
propofol
Desflurane
alfentanil
Rocuronium
Sponsored by
Gachon University Gil Medical Center
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Cerebral Ischemia focused on measuring propofol, desflurane, cerebrovascular circulation, sitting

Eligibility Criteria

20 Years - 65 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Forty patients,
  • ASA class I or II,
  • undergoing shoulder arthroscopy

Exclusion Criteria:

  • Patients with history of cerebrovascular disease, coronary occlusive disease and/or obesity (body mass index > 30) were excluded from this study.

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm Type

    Experimental

    Active Comparator

    Arm Label

    Desflurane

    propofol

    Arm Description

    anaesthesia was induced with thiopental sodium 2 mg kg-1, alfentanil 10 μg kg-1 and rocuronium 0.6 mg kg-1. Anesthetic maintenance by desflurane

    anaesthesia was induced with the effect-site concentration of propofol 5.0 μg ml-1, alfentanil 10 μg kg-1, and rocuronium 0.6 mg kg-1. A commercially available target controlled infusion (TCI) pump (Orchestra®, Fresenius Vial, France) was used and the pharmacokinetic set used to calculate target effect-site concentrations for propofol was Schnider and colleagues' model

    Outcomes

    Primary Outcome Measures

    Regional Cerebral Oxygen Satuation (rSO2)
    definitive values of regional cerebral oxygen saturation(rSO2,%) values are described as mean (SD)

    Secondary Outcome Measures

    Full Information

    First Posted
    September 15, 2011
    Last Updated
    August 25, 2013
    Sponsor
    Gachon University Gil Medical Center
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    1. Study Identification

    Unique Protocol Identification Number
    NCT01436799
    Brief Title
    Desflurane Versus Propofol in the Sitting Position
    Official Title
    International Review Board of Gachon University Gil Hospital
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    August 2013
    Overall Recruitment Status
    Completed
    Study Start Date
    March 2011 (undefined)
    Primary Completion Date
    August 2011 (Actual)
    Study Completion Date
    August 2011 (Actual)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Principal Investigator
    Name of the Sponsor
    Gachon University Gil Medical Center

    4. Oversight

    Data Monitoring Committee
    Yes

    5. Study Description

    Brief Summary
    The investigators hypothesized that both propofol and desflurane would decrease the regional oxygen saturation (rSO2) but propofol is likely to reduce rSO2 more than sevoflurane when patients are raised to the sitting position.
    Detailed Description
    The investigators hypothesized that both propofol and desflurane would decrease the rSO2 but propofol is likely to reduce rSO2 more than sevoflurane when patients are raised to the sitting position. Therefore, the purpose of this study was to investigate the effect of desflurane and propofol on rSO2 values during the beach chair position for shoulder arthroscopy.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Cerebral Ischemia
    Keywords
    propofol, desflurane, cerebrovascular circulation, sitting

    7. Study Design

    Primary Purpose
    Prevention
    Study Phase
    Not Applicable
    Interventional Study Model
    Parallel Assignment
    Masking
    Investigator
    Allocation
    Randomized
    Enrollment
    40 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    Desflurane
    Arm Type
    Experimental
    Arm Description
    anaesthesia was induced with thiopental sodium 2 mg kg-1, alfentanil 10 μg kg-1 and rocuronium 0.6 mg kg-1. Anesthetic maintenance by desflurane
    Arm Title
    propofol
    Arm Type
    Active Comparator
    Arm Description
    anaesthesia was induced with the effect-site concentration of propofol 5.0 μg ml-1, alfentanil 10 μg kg-1, and rocuronium 0.6 mg kg-1. A commercially available target controlled infusion (TCI) pump (Orchestra®, Fresenius Vial, France) was used and the pharmacokinetic set used to calculate target effect-site concentrations for propofol was Schnider and colleagues' model
    Intervention Type
    Drug
    Intervention Name(s)
    propofol
    Intervention Description
    anaesthesia was induced with the effect-site concentration of propofol 5.0 μg ml-1 mainly.
    Intervention Type
    Drug
    Intervention Name(s)
    Desflurane
    Other Intervention Name(s)
    Des
    Intervention Description
    anaesthesia was maintained by desflurane 4-7vol%
    Intervention Type
    Drug
    Intervention Name(s)
    alfentanil
    Other Intervention Name(s)
    alf
    Intervention Description
    administration of alfentanil 10 μg kg-1 for anesthetic induction
    Intervention Type
    Drug
    Intervention Name(s)
    Rocuronium
    Other Intervention Name(s)
    roc
    Intervention Description
    administration of rocuronium 0.6 mg kg-1 for anesthetic induction
    Primary Outcome Measure Information:
    Title
    Regional Cerebral Oxygen Satuation (rSO2)
    Description
    definitive values of regional cerebral oxygen saturation(rSO2,%) values are described as mean (SD)
    Time Frame
    1, 3, 5, 7, and 9 min after the beach chair position

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    20 Years
    Maximum Age & Unit of Time
    65 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Forty patients, ASA class I or II, undergoing shoulder arthroscopy Exclusion Criteria: Patients with history of cerebrovascular disease, coronary occlusive disease and/or obesity (body mass index > 30) were excluded from this study.
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Hyun Jeong Kwak, MD.PhD
    Organizational Affiliation
    Gachon University Gil Medical Center
    Official's Role
    Study Director

    12. IPD Sharing Statement

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    Desflurane Versus Propofol in the Sitting Position

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