Difference Between Inhalation Anesthesia and Total Intravenous Anesthesia in Free Flap Surgery
NCT ID: NCT03263078
Last Updated: 2022-06-30
Study Results
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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COMPLETED
NA
78 participants
INTERVENTIONAL
2017-10-01
2019-12-31
Brief Summary
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Detailed Description
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Conditions
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Study Design
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RANDOMIZED
PARALLEL
OTHER
SINGLE
Study Groups
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TIVA with Propofol in free flap surgery
Total intravenous anesthesia(TIVA) with Propofol
Propofol
For the maintenance of anesthesia, we used 2% propofol (Fresofol®, Fresenius Kabi, Germany) administered by the target controlled infusion (TCI) system (Orchestra® Base Primea; Fresenius Kabi, Germany) in Schnider mode with an effect concentration (Ce) of 2.5-3.5 µg ml-1
Sevoflurane in free flap surgery
Inhalation anesthesia with Sevoflurane
Sevoflurane
Anesthesia was maintained using 1-3% sevoflurane (ULTANE®, AbbVie Inc., USA) in the Sevoflurane group.
Interventions
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Propofol
For the maintenance of anesthesia, we used 2% propofol (Fresofol®, Fresenius Kabi, Germany) administered by the target controlled infusion (TCI) system (Orchestra® Base Primea; Fresenius Kabi, Germany) in Schnider mode with an effect concentration (Ce) of 2.5-3.5 µg ml-1
Sevoflurane
Anesthesia was maintained using 1-3% sevoflurane (ULTANE®, AbbVie Inc., USA) in the Sevoflurane group.
Eligibility Criteria
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Inclusion Criteria
Exclusion Criteria
2. preoperative documented obstructive or restrictive lung disease
3. liver cirrhosis; severe chronic renal insufficiency (GFR \< 30 ml·min-1·1.73 m-2.)
4. peripheral arterial occlusive disease expected to be a contraindication for PiCCO catheter insertion
5. Active cardiac arrhythmias that were assumed to preclude valid assessment using arterial pulse contour analysis
6. anticipated bilateral femoral arterial and central venous catheterization when the jugular and subclavian veins were not available due to surgical extent
20 Years
ALL
No
Sponsors
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Taichung Veterans General Hospital
OTHER
Responsible Party
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Principal Investigators
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Yi-Ting Chang, MD
Role: PRINCIPAL_INVESTIGATOR
Anesthesiology Department, Taichung Veterans General Hospital
Locations
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Taichung Veterans General Hospital
Taichung, Taiwain, Taiwan
Countries
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References
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Chang YT, Lai CS, Lu CT, Wu CY, Shen CH. Effect of Total Intravenous Anesthesia on Postoperative Pulmonary Complications in Patients Undergoing Microvascular Reconstruction for Head and Neck Cancer: A Randomized Clinical Trial. JAMA Otolaryngol Head Neck Surg. 2022 Sep 15;148(11):1013-21. doi: 10.1001/jamaoto.2022.2552. Online ahead of print.
Other Identifiers
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CF16113B
Identifier Type: -
Identifier Source: org_study_id
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