Propofol EC50 for Inducing Loss of Consciousness in General Combined Epidural Anesthesia
NCT05124704 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 60
Last updated 2025-01-09
Summary
The beneficial of perioperative usage of thoracic epidural anesthesia and analgesia in various thoracic and upper abdominal surgery are well studied. However, intraoperative data are lacking whether combined thoracic epidural and general anesthesia have effect on the median (50%) effective effect-concentration (EC50) of propofol for inducing loss of consciousness (LOC). We performed this study among patients undergoing open gastrectomy in gastric cancer patients.
Sixty patients undergoing open gastrectomy were randomly assigned to two groups with thoracic combined general anesthesia (TEA+GA) or general anesthesia (GA) alone. Target-controlled infusion (TCI) of propofol was used for anesthesia induction. The initial propofol concentration of target effect-site (Ceprop) was 3.5 ug/ml and was increased stepwise by 0.5ug/ml at each 4 min intervals by an un-down sequential method to reach LOC. The predicted Ceprop at the time of LOC, intravenous anesthetics, vasopressor requirement, emergency time from anesthesia and postoperative numeric rating scale (NRS) were recorded and analyzed between two groups.
Conditions
Interventions
- DRUG
-
5-8ml 0.375% ropivacaine
5-8ml of 0.375% ropivacaine depend on the height and weight of the patient was administrated through the epidural catheter at least 20 min before induction in experimental group. Followed by a continuous infusion of 4-6 ml/h using micro-infusion pump after induction during surgery.
- OTHER
-
5-8ml normal saline
5-8ml of normal saline depend on the height and weight of the patient was administrated through the epidural catheter at least 20 min before induction. Followed by a continuous infusion of 4-6 ml/h using micro-infusion pump after induction during surgery.
Sponsors & Collaborators
-
Wang Jiangling
lead OTHER
Principal Investigators
-
Jiangling Wang, M.D · Cancer Hospital of The University of Chinese Academy of Sciences
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- DOUBLE
- Model
- SINGLE_GROUP
Eligibility
- Min Age
- 18 Years
- Max Age
- 75 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2021-11-20
- Primary Completion
- 2022-05-25
- Completion
- 2022-05-25
Countries
- China
Study Locations
More Related Trials
-
Effect of Adding Sufentanil to Epidural Ropivacaine on Perioperative Metabolic and Stress Responses in Combined General/Epidural Anaesthesia for Geriatric Radical Retropubic Prostatectomy
NCT01086956 ·Status: COMPLETED ·Phase: NA
-
Influences of Propofol and Sevoflurane Anesthesia in Brain Tumor
NCT05141877 ·Status: RECRUITING ·Phase: PHASE4
-
Application of New Oropharyngeal Airway Management in Patients Undergoing Painless Gastroenteroscopy
NCT06304337 ·Status: RECRUITING ·Phase: NA
-
Efficacy and Safety of HSK3486 Compared to Propofol for Adults Undergoing Elective Surgery With General Anesthesia
NCT05478174 ·Status: COMPLETED ·Phase: PHASE3
-
A Comparison Between Propofol and Etomidate in Hysteroscopy on Effect of Postoperative Sedation and Cognitive Function in Elderly Patients
NCT02147678 ·Status: UNKNOWN ·Phase: PHASE4
-
Hypoxia During Gastroenterological Endoscope Procedures Sedated With Ciprofol In Overweight Or Obesity Patients
NCT05518929 ·Status: COMPLETED ·Phase: PHASE4
-
Comparison Between Continuous Infusion and Intermittent Bolus Injection of Propofol for Deep Sedation During ERCP
NCT01900938 ·Status: UNKNOWN ·Phase: NA
-
A Study to Evaluate the Efficacy and Safety of HSK3486 in the Induction of General Anesthesia
NCT04511728 ·Status: COMPLETED ·Phase: PHASE3
-
Simultaneous Injection of Propofol and Rocuronium in Inducing General Anesthesia
NCT03270696 ·Status: COMPLETED ·Phase: NA
-
The Application of Target Controlled Infusion of Etomidate Combined With Propofol in the Maintenance of Anesthesia During Brain Surgeries
NCT02174120 ·Status: UNKNOWN ·Phase: PHASE4
-
Efficacy and Safety of Fospropofol Disodium Versus Propofol for Sedation in Mechanically Ventilated ICU Patients
NCT05491278 ·Status: COMPLETED ·Phase: PHASE2
-
A Phase IIa Study Investigating the Tolerance, Efficacy and Safety of HSK3486
NCT03698617 ·Status: COMPLETED ·Phase: PHASE2
-
Safety and Efficacy of HSK3486 Compared to Propofol for Induction of General Anesthesia in Adults With Elective Surgery
NCT05486416 ·Status: COMPLETED ·Phase: PHASE3
-
a Pilot Study of Lidocaine Infusion for Postoperative Analgesia in Elderly Patients With Colorectal Cancer Surgery
NCT05412576 ·Status: COMPLETED ·Phase: NA
-
The Effect of Thoracic Epidural Anesthesia With Different Block Level on Propofol Induction
NCT02135016 ·Status: COMPLETED ·Phase: PHASE4
-
Efficacy and Safety of Fospropofol Disodium Versus Propofol for Deep Sedation in Critically Ill Patients
NCT05870514 ·Status: UNKNOWN ·Phase: PHASE2
-
Effect Site Controlled, Reaction Time Safeguarded, Patient Maintained Sedation With Propofol in Healthy Volunteers
NCT00321360 ·Status: COMPLETED ·Phase: PHASE4
-
Cancer and Anesthesia: Survival After Radical Surgery - a Comparison Between Propofol or Sevoflurane Anesthesia
NCT01975064 ·Status: COMPLETED ·Phase: PHASE4
-
Machine Learning-Based Model for Individualized Drug Dose Prediction for Propofol
NCT06703879 ·Status: COMPLETED
-
Impact of Anesthesia Maintenance Methods on 5-year Survival After Surgery
NCT05343260 ·Status: COMPLETED ·Phase: NA
-
Effect of Depth of Total Intravenous Anesthesia Using Propofol on Postoperative Cognitive Dysfunction
NCT01708837 ·Status: UNKNOWN ·Phase: PHASE4
-
Balanced Propofol Sedation During Upper Endoscopy in Morbidly Obese Patients
NCT00782873 ·Status: COMPLETED
-
Studies of Application of Combined General Anesthesia and Bilateral TPVB in OPCABG
NCT02727712 ·Status: UNKNOWN ·Phase: PHASE4
-
Anaesthesia for Supratentorial Tumor Resection
NCT00389883 ·Status: COMPLETED ·Phase: PHASE3
-
Patient-controlled Sedation With Propofol During Cataract Surgery Under Topical Anesthesia
NCT02771912 ·Status: COMPLETED ·Phase: PHASE4