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Sevoflurane Protective Effect on Ischemia-reperfusion Injury. Multicenter, Randomized Controlled Trial

Not Applicable
Completed
Conditions
Microsurgical Free Flaps
Interventions
Drug: Balanced anesthesia
Drug: Total intravenous anesthesia
Registration Number
NCT01905501
Lead Sponsor
Regina Elena Cancer Institute
Brief Summary

This study aimed to evaluate the possible protective effect of anesthetic technique balanced(with sevoflurane) compared with total intravenous anesthetic technique (propofol,remifentanil). The hypothesis is that the Sevoflurane may exert protective effect in regard to the ischemia-reperfusion injury induced on the microsurgical breast free flap during transfer to receiving area. The investigators will evaluate the continuous flap tissue oximetry and the level of biochemical markers.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
Female
Target Recruitment
132
Inclusion Criteria

Patient selected for plastic breast surgery With microsurgical Free flap Over 18 y Asa I/II

Exclusion Criteria

Unusual reaction to anesthetic drugs Suspect for malignant hyperthermia Vasculopathic disease Coagulation disease

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Balanced anesthesiaBalanced anesthesia-
Total intravenous anesthesiaTotal intravenous anesthesiaTotal intravenous anaesthesia
Primary Outcome Measures
NameTimeMethod
continuous tissue oximetry (NIRS)20 hours
Secondary Outcome Measures
NameTimeMethod
Lactate Clearance24 hours
Biochemical MarkersPreoperative and 24 hours post operative

Trial Locations

Locations (1)

Regina Elena CI

🇮🇹

Rome, Italy

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