TIVA vs Inhalational Mode of Anaesthesia

NCT ID: NCT03807297

Last Updated: 2020-02-19

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

Clinical Phase

PHASE2

Total Enrollment

100 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-01-10

Study Completion Date

2019-12-30

Brief Summary

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Sevoflurane based inhalational anaesthesia is the preferred mode of anesthesia for small duration cases. But in recent times, concept of rapid discharge, day care procedures, and green environment has created the need of new modalities of anaesthesia for such cases. Considering such factor, investigators have planned using TIVA i.e. total intravenous anaesthesia with Inj. Propofol and Inj. Dexmedetomidine infusions for maintenance of anesthesia in Modified Radical Mastectomy (MRM). By comparing the two modalities of anaesthesia i.e. TIVA vs Inhalational investigators are trying to find out whether TIVA is feasible, cost effective and comparable to inhalational anaesthesia in terms of intraoperative hemodynamic stability, pain, intraoperative awareness and recovery profile. This comparison and analysis will help to determine if TIVA can be used as the sole mode of anaesthesia during MRM as it will initiate early discharge of patient and will contribute to the Green OT concept.

Detailed Description

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Aim: To compare TIVA Vs Inhalational mode of anaesthesia in patients undergoing Modified Radical Mastectomy

Objective:

* Feasibility of TIVA in Modified Radical Mastectomy
* Cost - effectiveness of TIVA Vs Inhalational anesthesia
* Effectiveness of TIVA as compared to Inhalational Anaesthesia by comparing intraoperative hemodynamic parameters and recovery profile.

Study design: It will be a prospective randomized controlled interventional type of study.

Sample size: Total 100 patients will be recruited for two groups i.e. 50 each in -TIVA (T) and Inhalational (I) group. Groups will be allocated as per chit system to remove the bias.

In group T: (TIVA): Inj. Dexmedetomidine will be started at induction @1mcg/kg over 10 min followed by 0.2 to 0.7 mcg/kg/hr along with propofol @ 75mcg/kg/min (25-100 mcg/kg/min) for maintenance of anaesthesia.

In group I: (inhalational): both nitrous oxide (in ratio of 50:50 with oxygen) and sevoflurane will be started at induction.

In both groups drugs and gases (respective to groups) will be titrated to maintain a bispectral index value between 40-60. Anaesthetic drugs will be stopped at last skin suture. Soon after reversal- recovery profile, modified Aldrete score will be recorded along with time taken to first eye opening and attainment of BIS value of \>90. At the end of case amount of each agents consumed will be recorded - i.e. nitrous oxide, sevoflurane, propofol, dexmedetomodine- for cost analysis.

Conditions

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Anesthesia Awareness

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

two groups - one for Total Intravenous Anaesthesia mode and other for Inhalational mode of anaesthesia
Primary Study Purpose

OTHER

Blinding Strategy

DOUBLE

Participants Investigators
participants will be alloted in two groups as per chit system and won't be aware of type of anaesthesia, investigator won't be aware of type of anaesthesia and will record the data.

Study Groups

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TIVA - total intravenous anaesthesia

only intravenous type of anaesthesia using Injection propofol, 10 mg and Injection dexmedetomidine drug infusion will be infused for maintenance of anaesthesia

Group Type OTHER

Injection dexmedetomidine

Intervention Type DRUG

alpha 2 a agonist used for sedation, analgesia

Injection, Propofol, 10 Mg

Intervention Type DRUG

non barbiturate type of intravenous anaesthetic drug

Inhalational anaesthesia

In this group, both nitrous oxide and sevoflurane will be given for maintenance of anaesthesia

Group Type OTHER

sevoflurane

Intervention Type OTHER

inhalational anaesthetic agent

nitrous oxide

Intervention Type OTHER

inhalational anaesthetic agent

Interventions

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Injection dexmedetomidine

alpha 2 a agonist used for sedation, analgesia

Intervention Type DRUG

Injection, Propofol, 10 Mg

non barbiturate type of intravenous anaesthetic drug

Intervention Type DRUG

sevoflurane

inhalational anaesthetic agent

Intervention Type OTHER

nitrous oxide

inhalational anaesthetic agent

Intervention Type OTHER

Other Intervention Names

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dexmed propofol spiva

Eligibility Criteria

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Inclusion Criteria

* Age group: 30-65 yrs
* ASA status: 1-3
* Use of endotracheal tube for securing the airway

Exclusion Criteria

* CKD, CLD patients
* Cardiac dysfunction
* Psychotic and neurotic disorders
* Drug addiction
* BMI \> 30
* Use of supraglottic device
* Use of any nerve blocks
Minimum Eligible Age

30 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Rajiv Gandhi Cancer Institute & Research Center, India

OTHER

Sponsor Role lead

Responsible Party

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Dr. Nitesh Goel

Dr. Nitesh Goel - Consultant Anaesthesia

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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NITESH GOEL, MBBS,DA,DNB

Role: PRINCIPAL_INVESTIGATOR

Rajiv Gandhi Cancer Institute And Research Centre

Locations

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Rajiv Gandhi Cancer Institute and Research Centre

New Delhi, National Capital Territory of Delhi, India

Site Status

Countries

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India

Other Identifiers

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RajivGCIRC2

Identifier Type: -

Identifier Source: org_study_id

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