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NCT03510793

Microcirculation and Anesthesia in Vascular Surgery

Completed Last updated 3 May 2018
What this trial tests

trial testing balanced anesthesia in Ischemia Reperfusion Injury in 40 participants. Completed in 30 November 2017.

Timeline
1 September 2013
Primary endpoint
30 November 2017
30 November 2017

Quick facts

Lead sponsorUniversità Politecnica delle Marche
StatusCompleted
Study typeOBSERVATIONAL
Enrollment40
Start date1 September 2013
Primary completion30 November 2017
Estimated completion30 November 2017

Drugs / interventions tested

Conditions studied

Sponsor

Università Politecnica delle Marche — full company profile →

Who can join

18 and older, any sex, with Ischemia Reperfusion Injury or Aortic Aneurysm. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

Ischemia/reperfusion injury following aortic cross-clamping for vascular surgery leads to systemic hemodynamic and microcirculatory perturbances. The use of different anesthetic regimens may have an impact on tissue perfusion. The aim of this study was to explore changes in microvascular perfusion in patients undergoing elective open abdominal aortic aneurysm repair under balanced or total intravenous anesthesia. Prospective observational study on 40 patients scheduled for elective open infrarenal abdominal aortic aneurysm repair, who received balanced (desflurane + remifentanil, n=20) or total intravenous anesthesia (TIVA, propofol + remifentanil using target-controlled infusion, n=20) according to the clinician's decision. A goal-directed hemodynamic management was applied in all patients. Hemodynamics and arterial/venous blood gases were compared before anesthesia induction (baseline) and at end-surgery. Changes in sublingual microvascular flow and density were assessed with incident dark field illumination imaging. Near infrared spectroscopy was applied on the thenar eminence with a vascular occlusion test (VOT) to assess variations in the peripheral muscle tissue oxygenation and microcirculatory reactivity.

Publications & conference data

1 peer-reviewed publication reference this trial (live from Europe PMC):

  1. Changes in the sublingual microcirculation following aortic surgery under balanced or total intravenous anaesthesia: a prospective observational study.
    Loggi S, Mininno N, Damiani E, Marini B, et al · · 2019 · cited 10× · PMID 30611197 · DOI 10.1186/s12871-018-0673-7

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Other recruiting trials for Ischemia Reperfusion Injury

Currently open trials in the same condition.

Other Università Politecnica delle Marche trials

Trials by the same sponsor.

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Data sources for this page

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