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The Effect of Norepinephrine and Dopamine on Radial Forearm Free Flap Tissue Oxygen Pressure and Microdialysate Metabolite Measurements

Phase 4
Completed
Conditions
Head and Neck Cancer
Interventions
Registration Number
NCT02241083
Lead Sponsor
Tampere University Hospital
Brief Summary

Vasopressors may be needed after head and neck microvascular reconstructions to maintain sufficient mean arterial pressure. This is crucial for the flap survival. The study hypothesis is that norepinephrine and dopamine used as vasopressors do not affect flap tissue oxygen level and microdialysate metabolites.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
25
Inclusion Criteria
  • head and neck cancer patients having tumor ablation surgery and reconstruction with microvascular radial forearm flap
Exclusion Criteria
  • Patients having contraindications for the operation.
  • Patient refusal to participate in the study

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
norepinephrine groupNorepinephrinevasopressor dosage individually titred according to the mean arterial pressure
control groupno medicationno medication
dopamine groupDopaminevasopressor dosage individually titred according to the mean arterial pressure
Primary Outcome Measures
NameTimeMethod
Evidence of clinically definite ischemia in a flap confirmed by changes in tissue oxygen pressure level and microdialysates metabolites72 hours
Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Tampere University Hospital

🇫🇮

Tampere, P.O. Box 2000, Finland

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