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Tissue Oxygenation of the Tibial Anterior Muscle After Clamping of the Femoral Artery

Not Applicable
Completed
Conditions
Tissue Oxygen Saturation
Interventions
Procedure: Sevoflurane preconditioning
Registration Number
NCT02038062
Lead Sponsor
University Hospital Schleswig-Holstein
Brief Summary

Ischemic preconditioning is defined as protection from cell damage induced by prolonged ischemia by preceding cycles of short ischemia. Hence, ischemic preconditioning could reduce ischemic lesion during clamping a femoral artery for vascular surgery. In this prospective, randomized pilot study is investigated if clamping of the femoral artery leads to ischemia of the calf measurable by near-infrared spectroscopy. In addition to this, the effect of sevoflurane preconditioning on ischemia of the calf is measured.

Detailed Description

Ischemic preconditioning is performed by clamping of the femoral artery for five minutes in 40 patients. In 20 patients sevoflurane preconditioning is performed five minutes before ischemic preconditioning by inducing sevoflurane anesthesia for five minutes. Muscle tissue oxygenation is measured bilaterally in the anterior tibial muscle by near-infrared spectroscopy (INVOS, SOMANETICS, Troy, Michigan/ USA) during preconditioning and following ischemia.Clinically relevant ischemia was defined as a decrease of tissue oxygen saturation to 95 % of baseline.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
40
Inclusion Criteria

vascular surgery with clamping of a femoral artery. -

Exclusion Criteria

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
SevofluraneSevoflurane preconditioningSevoflurane Preconditioning
Primary Outcome Measures
NameTimeMethod
Decrease of tissue oxygen saturation below 95 % of baseline4 hours

Decrease of tissue oxygen saturation below 95 % of baseline

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

University Hospital Schleswig-Holstein, Campus Kiel

🇩🇪

Kiel, Schleswig-Holstein, Germany

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