Vecuronium Requirements According to the Operation Phase During Liver Transplantation Under Desflurane Anesthesia

NCT ID: NCT01379352

Last Updated: 2013-12-25

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

35 participants

Study Classification

OBSERVATIONAL

Study Start Date

2011-06-30

Study Completion Date

2011-12-31

Brief Summary

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The vecuronium requirements may be reduced for recipients of living donor liver transplantation, as the vecuronium is eliminated principally by the liver. Furthermore, the requirements may be different according to the phase of surgery. The requirements may also be different according to the preoperative hepatic function as measured by MELD score during prehepatic phase, or graft to recipient body weight ratio (GRWR) during neohepatic phase. Therefore, the investigators are trying to investigate the difference of vecuronium requirements according to the phase of surgery or MELD score, GRWR.

Detailed Description

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The vecuronium requirements may be reduced for recipients of living donor liver transplantation, as the vecuronium is eliminated principally by the liver. Furthermore, the requirements may be different according to the phase of surgery. The requirements may by further reduced during anhepatic phase of liver transplantation. And the requirements may be increased as the graft functions during neohepatic phase.

We also postulated that the requirements may be different according to the preoperative hepatic function during preanhepatic phase, and according to the graft to recipient body weight ratio (GRWR) during neohepatic phase.

Therefore, we are trying to investigate the difference of vecuronium requirements according to the phase of surgery, MELD score, GRWR.

Conditions

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Liver Transplantation

Keywords

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liver transplantation vecuronium

Study Design

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Study Time Perspective

PROSPECTIVE

Study Groups

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High MELD group

Preoperative MELD score greater than 20

No interventions assigned to this group

Low MELD group

Preoperative MELD score lesser than 20

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

* patients undergoing elective living donor liver transplantation

Exclusion Criteria

* patients who can not undergo train-of-four test due to central or peripheral neuromuscular disease.
* patients with severe cardiopulmonary diseases.
* patients who received transfusion with more than 10 units of packed red blood cells.
* primary non-functioning graft immediately after reperfusion of the graft.
* patients who administered drugs that influences the metabolism of vecuronium (such as anticonvulsant: phenytoin, carbamazepine, primidone, sodium valproate)
* patients undergoing cadaver donor liver transplantation
Minimum Eligible Age

20 Years

Maximum Eligible Age

69 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Samsung Medical Center

OTHER

Sponsor Role lead

Responsible Party

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Gaab Soo Kim

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Gaab Soo Kim, M.D.,Ph.D.

Role: STUDY_DIRECTOR

Samsung Medical Center

Locations

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Samsung Medical Center

Seoul, , South Korea

Site Status

Countries

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South Korea

Other Identifiers

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2011-04-015

Identifier Type: -

Identifier Source: org_study_id