Cancer of Pancreas Clinical Trial
Official title:
Effects of Dexmedetomidine on Anaesthesia During IRE Procedures for Solid Tumours
The purpose of the study is to evaluate effects of dexmedetomidine on anaesthesia during IRE procedures for solid tumours
Pulsed electric current can be used to produce irreversible electroporation (IRE) of cell
membranes with resulting cell death. This process has been shown to ablate tumors in animal
and human studies. A pulsating direct current of 20 to 50 A and 500 to 3000 V is delivered
into metastatic or primary tumors in the liver, kidney, or lung via needle electrodes
inserted under computed tomography (CT) or ultrasound guidance. Patients usually require
general anesthesia with muscle relaxant. Currently, circa 30 procedures have been done at
our institution with good or excellent results. However, several patients have had severe
pain postoperatively.
Dexmedetomidine is an α2-adrenoreceptor agonist with sedative, analgesic and anxiolytic
effects, and it has more selective α2-adrenergic effect than clonidine. We will evaluate
perioperative dexmedetomidine 0.4 µg/kg/hr infusion effects on hemodynamics, anesthetic
consumption, and recovery profiles during anesthesia for IRE of solid organs tumours.
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Endpoint Classification: Safety/Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment
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