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Effect of Anesthetics on Microcirculation in Patients Undergoing Off-pump Coronary Artery Bypass Surgery

Seoul National University logo

Seoul National University

Status and phase

Completed
Phase 4

Conditions

Anesthetic Complication Spinal
Microcirculation

Treatments

Drug: Sevoflurane
Drug: Desflurane

Study type

Interventional

Funder types

Other

Identifiers

NCT03209193
OPCAB_SEVO vs DES

Details and patient eligibility

About

Volatile anesthetics, such as sevoflurane and desflurane, are commonly used in patients undergoing cardiac surgeries including off-pump coronary artery bypass. However, the effect of volatile anesthetics on microcirculation in patients undergoing off-pump coronary artery bypass has not been well conducted.

Full description

This is a prospective randomized clinical trial investigating the effect of sevoflurane vs. desflurane on tissue microcirculation in patients undergoing off-pump coronary artery bypass surgery. Eligible patients are going to be randomized to receive sevoflurane or desflurane, as a maintenance anesthetic, during the surgery. Tissue oxygen saturation and microcirculatory changes, such as an occlusion and recovery slope, during vascular occlusion test will be recorded during the surgery. The primary end point of the study is the difference in tissue oxygen saturation between the groups.

Enrollment

72 patients

Sex

All

Ages

20 to 90 years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  • scheduled for off-pump coronary artery bypass surgery

Exclusion criteria

  • any deformity or vascular abnormalities on upper arms
  • cannot receive sevoflurane or desflurane for any reason (muscular diseases, etc)
  • uncontrolled diabetes
  • peripheral vascular disease
  • severe renal dysfunction (end-stage renal disease)
  • refuse to enroll
  • pregnant

Trial design

Primary purpose

Treatment

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

Quadruple Blind

72 participants in 2 patient groups

Sevoflurane
Experimental group
Description:
Sevoflurane (2 vol%) use as a maintenance volatile anesthetic drug during the surgery
Treatment:
Drug: Sevoflurane
Desflurane
Experimental group
Description:
Desflurane (6 vol%) use as a maintenance volatile anesthetic drug during the surgery
Treatment:
Drug: Desflurane

Trial contacts and locations

1

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Data sourced from clinicaltrials.gov

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