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Safe and sustainable balanced anesthesia – identifying potentials in daily clinical routine

Recruiting
Conditions
balanced anesthesiainhalation anesthesia
Registration Number
DRKS00029400
Lead Sponsor
Klinik für Anästhesiologie, Uniklinikum RWTH Aachen
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Recruiting
Sex
All
Target Recruitment
251
Inclusion Criteria

•=18 years
•ASAI-II
•MET=4
•General anesthesia with sevoflurane
•Elective surgery with intubation

Exclusion Criteria

•Not willing to participate
•not able to provide informed consent
•pregnancy
•BMI=30kg/m2 and <18kg/m2
•severe respiratory disease
•single lung ventilation
•cardiac and thoracic surgery
•extracorporeal membrane oxygenation
•emergency surgery

Study & Design

Study Type
observational
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Sevoflurane consumption in ml during induction of anesthesia (cumulative amount in the first 7 minutes after opening of vaporizer 1)
Secondary Outcome Measures
NameTimeMethod
- Sevoflurane consumption in ml during maintenance<br>- Ventilation settings: Fresh gas flow, Vaporizer setting, Fraction of inspiratory and expiratory oxygen, endtidal sevoflurane concentration<br>- minimal alveolar concentration (MAC)<br>- Ventilation complications: laryngospasm, bronchospasm <br>- Narcotic depth: neuromonitoring, need for additional propofol bolus <br>- Hemodynamic stability: mean arterial blood pressure, need for vasopressors, bradycardia/tachycardia<br>- Economic efficiency: Cost savings <br>- Sustainability: CO2 equivalents
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