Hypotension Clinical Trial
Official title:
The Safety of Etomidate - Propofol Mixture vs Propofol in Total Intravenous Anesthesia During Abdominal Surgery : a Randomized, Double-blind, Controlled, Multicenter Study
NCT number | NCT05810363 |
Other study ID # | SEPT |
Secondary ID | |
Status | Recruiting |
Phase | N/A |
First received | |
Last updated | |
Start date | June 16, 2023 |
Est. completion date | August 30, 2024 |
The purpose of this study is to access the safety of etomidate - propofol mixture vs propofol in total intravenous anesthesia during abdominal surgery.
Status | Recruiting |
Enrollment | 468 |
Est. completion date | August 30, 2024 |
Est. primary completion date | May 1, 2024 |
Accepts healthy volunteers | Accepts Healthy Volunteers |
Gender | All |
Age group | 18 Years to 65 Years |
Eligibility | Inclusion Criteria: - ASA ?~?; - BMI was 18-28 kg/m2; - For elective abdominal surgery under intravenous general anesthesia; - The expected duration of anesthesia was 1 to 4 hours. Exclusion Criteria: - Pregnant patients; - Septic shock and multiple organ failure diagnosed within 14 days; - Hyperkalemia (serum potassium >5.5mmol/L) within 48 hours; - Stroke or transient ischemic attack within 3 months; - Patients with unstable angina pectoris or myocardial infarction within 3 months; Arrhythmia requiring treatment was not treated or treatment did not meet expectations; - Patients with preoperative diagnosed diabetes mellitus and uncontrolled blood glucose; Diabetic complications were diagnosed before surgery, including diabetic ketoacidosis, hyperosmolar coma, diabetes-related infection, diabetic nephropathy, retinopathy, diabetic cardiomyopathy, diabetic neuropathy, diabetic foot, etc. - Severe liver and renal dysfunction; - Liver surgery, renal surgery, adrenal surgery, day surgery; - Resting blood pressure =180/110 mmHg (2020 ISH hypertension guideline = grade 3 hypertension); Or systolic blood pressure <90mmHg or mean blood pressure <65mmHg. - Taking corticosteroids or other immunosuppressants for more than 10 days within 6 months or having a history of adrenal cortex suppression or immune system diseases; - Patients who participated in other drug trials within 3 months; - Patients with disturbance of consciousness or other mental diseases; - Confirmed/suspected abuse or long-term use of narcotic sedatives and analgesics; - Patients with cancer who received neoadjuvant therapy or chemotherapy before surgery; - Allergic to the drug used in this trial and its components. |
Country | Name | City | State |
---|---|---|---|
China | Tongji hospital | Wuhan |
Lead Sponsor | Collaborator |
---|---|
Ailin Luo |
China,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Incidence and duration of hypotension during anesthesia | Systolic blood pressure =90 mmHg, or > 20% reduction from baseline, or mean arterial pressure <65 mmHg, from the time when anesthesia induction began to the time before the patient complied with transfer out of PACU | during anesthesia | |
Secondary | Success rate of sedation | ? Successful induction of anesthesia, MOAA/S score to 0 or BIS<60 within 3 minutes after the end of administration; ? During the maintenance of anesthesia, there was no single BIS>60 for more than 5 minutes or the cumulative BIS>60 for more than 20% of the anesthesia time, no anticipated limb movement, and no anesthesia rescue measures during the maintenance period | during anesthesia | |
Secondary | Recovery time | Time from drug withdrawal to extubation | during anesthesia | |
Secondary | The type and dosage of vasoactive drugs used during operation | The type and dosage of vasoactive drugs used during operation | during anesthesia | |
Secondary | The incidence of postoperative nausea and vomiting | The incidence of postoperative nausea and vomiting | 72 hours after surgery |
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