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Desflurane and Postoperative Sleep Quality in Patients Undergoing Elective Breast Surgery

Primary Purpose

Desflurane, Propofol, Postoperative Sleep

Status
Completed
Phase
Not Applicable
Locations
China
Study Type
Interventional
Intervention
Desflurane Inhalation
Sponsored by
Zhongnan Hospital
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Desflurane

Eligibility Criteria

18 Years - 75 Years (Adult, Older Adult)FemaleAccepts Healthy Volunteers

Inclusion Criteria:

  • (1)The operation time is 3-4 hours (2) Age 30-75 years old, BMI 18.5-25.0kg/m2, ASA grade I or II (3) There was no depression (MDI < 21) and cognitive impairment (MMSE ≥ 27) before operation (4) Those who voluntarily participate in the research and sign the informed consent

Exclusion Criteria:

  • (1) The patients received adjuvant chemotherapy before operation (2) At present, they are taking psychoactive, opioid, anti anxiety and hypnotic drugs (3) Known or treated patients with apnea syndrome (4) Patients with other cancers

Sites / Locations

  • Zhongnan Hospital of Wuhan University

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

Desflurane Inhalation Group

Propofol Group

Arm Description

Anesthesia maintenance: Desflurane inhalation (MAC 1.0-1.2) Sufentanil 0.3-0.5 μg / (kg·h) Cisatracurium 1-3 μg / (kg·min)

Anesthesia maintenance: Propofol TCI: 3-4ug / ml Sufentanil 0.3-0.5 μg / (kg·h) Cisatracurium 1-3 μg / (kg·min)

Outcomes

Primary Outcome Measures

Pittsburgh sleep quality index

Secondary Outcome Measures

Pittsburgh sleep quality index
Total sleep time (TST), Rapid eye movement time (REM), Wakefulness after sleep onset (WASO)
Fitbit Charge 2™ objectively measured
Self-Rating Anxiety Scale Scores
Self-Rating Depression Scale Scores
Visual analogue scale scores
Flurbiprofen dose
Recovery time and quality (steward scores)

Full Information

First Posted
March 16, 2021
Last Updated
May 28, 2023
Sponsor
Zhongnan Hospital
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1. Study Identification

Unique Protocol Identification Number
NCT04805775
Brief Title
Desflurane and Postoperative Sleep Quality in Patients Undergoing Elective Breast Surgery
Official Title
Effect of Desflurane on Postoperative Sleep Quality in Patients Undergoing Elective Breast Surgery: A Non-inferiority Randomized Controlled Trial
Study Type
Interventional

2. Study Status

Record Verification Date
April 2023
Overall Recruitment Status
Completed
Study Start Date
October 21, 2021 (Actual)
Primary Completion Date
September 9, 2022 (Actual)
Study Completion Date
March 10, 2023 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Zhongnan Hospital

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Product Manufactured in and Exported from the U.S.
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
This study intends to investigate the effects of desflurane on postoperative sleep quality to guide perioperative patient management.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Desflurane, Propofol, Postoperative Sleep, PSQI, Breast Tumor

7. Study Design

Primary Purpose
Prevention
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
118 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Desflurane Inhalation Group
Arm Type
Experimental
Arm Description
Anesthesia maintenance: Desflurane inhalation (MAC 1.0-1.2) Sufentanil 0.3-0.5 μg / (kg·h) Cisatracurium 1-3 μg / (kg·min)
Arm Title
Propofol Group
Arm Type
Active Comparator
Arm Description
Anesthesia maintenance: Propofol TCI: 3-4ug / ml Sufentanil 0.3-0.5 μg / (kg·h) Cisatracurium 1-3 μg / (kg·min)
Intervention Type
Drug
Intervention Name(s)
Desflurane Inhalation
Intervention Description
Subjects were randomized in a 1:1 ratio to undergo breast surgery under maintenance of anesthesia with the classical intravenous anesthetic drug propofol (reference group) or the inhaled anesthetic drug desflurane (test group).
Primary Outcome Measure Information:
Title
Pittsburgh sleep quality index
Time Frame
Postoperative 3rd day
Secondary Outcome Measure Information:
Title
Pittsburgh sleep quality index
Time Frame
Postoperative 7th, and 30th days
Title
Total sleep time (TST), Rapid eye movement time (REM), Wakefulness after sleep onset (WASO)
Description
Fitbit Charge 2™ objectively measured
Time Frame
Postoperative 1st, 2nd, and 3rd days
Title
Self-Rating Anxiety Scale Scores
Time Frame
Postoperative 3rd, 7th, and 30th days
Title
Self-Rating Depression Scale Scores
Time Frame
Postoperative 3rd, 7th and 30th days
Title
Visual analogue scale scores
Time Frame
Postoperative 3rd, 7th and 30th days
Title
Flurbiprofen dose
Time Frame
Postoperative 1st, 2nd, and 3rd days
Title
Recovery time and quality (steward scores)
Time Frame
Up to 2 hours after operation

10. Eligibility

Sex
Female
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
75 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Undergoing elective breast surgery Age 18-75 years old ASA-PS grade I or II Those who voluntarily participate in the research and sign the informed consent Exclusion Criteria: Cognitive impairment (MMSE <27) before the operation The patients received adjuvant chemotherapy before the operation At present, they are taking psychoactive, opioid, anti-anxiety, and hypnotic drugs Known or treated patients with obstructive sleep apnea Patients with other cancers
Facility Information:
Facility Name
Zhongnan Hospital of Wuhan University
City
Wuhan
State/Province
Hubei
ZIP/Postal Code
430071
Country
China

12. IPD Sharing Statement

Plan to Share IPD
No

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Desflurane and Postoperative Sleep Quality in Patients Undergoing Elective Breast Surgery

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