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Different Low-flow Sevoflurane Anesthesia Techniques

Completed
Conditions
Anesthesia
Interventions
Other: 8% sevoflurane low flow anesthesia
Other: 2.5 %sevoflurane
Registration Number
NCT04743193
Lead Sponsor
Kocaeli Derince Education and Research Hospital
Brief Summary

After reaching 1 MAC level with 4 lt / min fresh gas flow and 2.5% sevoflurane concentration in the initial stage in 35 patients, anesthesia maintenance will be continued with 0.5 lt / min fresh gas flow and 2 -4% sevoflurane concentration with the target of 1 MAC. For 35 patients, after reaching 1 (MAC) level with 1 lt / min fresh gas flow and 8% sevoflurane concentration in the initial phase, maintenance of anesthesia will be continued with 0.5 lt / min fresh gas flow and 2 -4% sevoflurane concentration, targeting 1 MAC.

Detailed Description

The primary aim of this study is to compare the instantaneous and total consumption of sevoflurane using 2 different concentrations and different minute / fresh gas flow to fill the system in the initial phase of anesthesia. Its secondary purpose is to compare the depth of anesthesia and hemodynamic parameters between the two groups.

A total of 70 patients between the ages of 18-65 will be included in the study.in 2.5 % sevoflurane grup After reaching 1 MAC level with 4 lt / min fresh gas flow and 2.5% sevoflurane concentration in the initial stage in 35 patients, anesthesia maintenance will be continued with 0.5 lt / min fresh gas flow and 2 -4% sevoflurane concentration with the target of 1 MAC. in sevoflurane 8 % group for 35 patients, after reaching 1 (MAC) level with 1 lt / min fresh gas flow and 8% sevoflurane concentration in the initial phase, maintenance of anesthesia will be continued with 0.5 lt / min fresh gas flow and 2 -4% sevoflurane concentration with the target of 1 MAC. . The depth of anesthesia for both groups will be measured by the Bispectral Index (BIS). BIS values between 40 and 60 are appropriate values for general anesthesia, for this value 1 MAC sevoflurane inhalation anesthesia and remifentanil infusion (0.1-0.3mcg / kg / min) will be used.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
60
Inclusion Criteria
  • Patients between the ages of 18-65
  • ASA1,2,3 group patients
  • Patients under general anesthesia
  • Patients scheduled for elective surgery
Exclusion Criteria
  • The patient's refusal to participate in the study
  • Patients with less than 90 minutes of total anesthesia time
  • Patients whose total anesthesia time exceeds 180 minutes

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
sevoflurane 8 %8% sevoflurane low flow anesthesiaIn the initial phase, after reaching 1 (MAK) level with 1lt / min fresh gas flow and 8% sevoflurane concentration, anesthesia maintenance will be continued with 0.5 lt / min fresh gas flow and 2 -4% sevoflurane concentration with the target of 1 MAC.
sevoflurane 2.5 %2.5 %sevofluraneIn the initial phase, after reaching 1 MAK level with 4 lt / min fresh gas flow and 2.5% sevoflurane concentration, anesthesia maintenance will be continued with 0.5 lt / min fresh gas flow and 2 -4% sevoflurane concentration with the target of 1 MAC.
Primary Outcome Measures
NameTimeMethod
sevoflurane versus desfluranethe study will comlete in one month

To compare the instant and total consumption of sevoflurane using 2 different concentrations and different minute / fresh gas flow to fill the system in the initial phase of anesthesia.

Secondary Outcome Measures
NameTimeMethod
sevofluranestuddy will complete in one month

Its secondary purpose is to compare the depth of anesthesia and hemodynamic parameters between the two groups.

Trial Locations

Locations (1)

Tahsin Şimşek

🇹🇷

İstanbul, Kartal, Turkey

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