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Anesthesia and Lymphocytes Apoptosis

Not Applicable
Completed
Conditions
Anesthesia
Interventions
Drug: combine of sevoflurane and propofol
Registration Number
NCT01461551
Lead Sponsor
Ruijin Hospital
Brief Summary

Most researches revealed that volatile anesthetic sevoflurane has a more marked cardioprotective effect against ischemia compared with intravenous agent propofol.However, propofol has been suggested to be more benefit for attenuation of surgery-induced immunosuppression.Thus, the aim of this study was to investigate under the specific OPCAB surgical stress, the influence of 3 established anesthetic techniques: sevoflurane, propofol and combine of sevoflurane and propofol maintained anesthesia on the apoptosis of circulating lymphocytes.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
Male
Target Recruitment
105
Inclusion Criteria
  • male adults
  • aged 18-80 yr
  • undergoing elective OPCAB surgery containing left anterior descending artery bypass
Exclusion Criteria
  • a previous unusual response to any of the experimental anesthetics
  • severe cardiac dysrhythmias or ejection fraction below 30%
  • hemodynamic instability
  • previous surgical coronary artery repair
  • anemia, abnormal leukocytes or coagulopathy
  • severe hypertension
  • severe hepatic (albumin<30g,ascites), renal (serum creatinine greater than 2.0 mg/dl) or pulmonary (preoperative pulmonary function tests moderate-severe) dysfunctions
  • concomitant surgical procedures and psychiatric disorders
  • Insulin-dependent diabetics

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
SevofluraneSevoflurane-
Combine of sevoflurane and propofolcombine of sevoflurane and propofol-
PropofolPropofol-
Primary Outcome Measures
NameTimeMethod
Lymphocyte Count1 day after surgery

Blood samples were obtained 24 h after the surgery for routine blood examination. This analysis was performed in the hospital laboratory using routine laboratory procedures.

Secondary Outcome Measures
NameTimeMethod
Intensive Care Unit Staying Daysparticipants will stay in intensive care unit after surgery, an expected average of 2 days

Trial Locations

Locations (1)

Ruijin Hospital

🇨🇳

Shanghai, Shanghai, China

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