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Effects of Anesthesia With Propofol Versus Desflurane in Obese Patients

Phase 4
Completed
Conditions
Obesity
Anesthesia
Interventions
Registration Number
NCT03417518
Lead Sponsor
Centre Hospitalier Universitaire Saint Pierre
Brief Summary

Evaluate the effects of propofol compared with desflurane on oxidative stress and inflammation markers in obese patients undergoing scheduled bariatric surgery.

Detailed Description

Obese patients have a high level of oxidative stress and inflammation activity. Desflurane is an anesthetic gas often used for obese patients. Propofol, another anesthetic agent, has shown an antioxidant property. The aim of the study is to compare the effects of propofol with desflurane on oxidative stress and inflammation markers in obese patients.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
40
Inclusion Criteria
  • Body Mass Index (BMI) >35
  • scheduled gastric by pass surgery
  • American Society of Anesthesiologists (ASA) <III
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Exclusion Criteria
  • Allergic to anesthesia agent
  • patient refusal
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Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Desflurane Inhalant Product GroupDesflurane Inhalant Productgeneral anesthesia with desflurane
Propofol GroupPropofolgeneral anesthesia with propofol
Primary Outcome Measures
NameTimeMethod
Malondialdehyde (MDA) level in blood sampleup to 24 hours post bariatric surgery

Plasma MDA level is measured as an oxidative stress marker before the surgery, at 1 hour, 2 hours, 24 hours post-surgical incision.

Secondary Outcome Measures
NameTimeMethod
Pain assessed by Visual Analog Scale (VAS)up to 48 hours after surgery

Pain level is determined at 2 hours, 24 hours and 48 hours post-surgical incision. Visual analog pain score (scale = 0 no pain; 10= worst pain imaginable)

Side-effects (nausea, vomiting, somnolence, respiratory depression)up to 48 hours after surgery

Evaluation at 2 hours, 24 hours and 48 hours post-surgical incision

C-Reactive Protein (CRP) in blood sampleup to 24 hours post bariatric surgery

Plasma CRP level is measured as an inflammation marker before the surgery, at 1 hour, 2 hours, 24 hours post-surgical incision.

Monocyte level in blood sampleup to 24 hours post bariatric surgery

Monocyte level is measured as an inflammation marker before the surgery, at 1 hour, 2 hours, 24 hours post-surgical incision.

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