Obesity Clinical Trial
Official title:
Influence of Obesity on Microvascular Reactivity During General Anesthesia
Verified date | October 2023 |
Source | Pusan National University Hospital |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Observational |
The purpose of this study was to investigate the effect of obesity on changes in microvascular reactivity and tissue oxygen saturation (StO2) during general anesthesia using near-infrared spectroscopy in conjunction with vascular occlusion tests (VOT). For this prospective observation investigation, a total of 128 patients who underwent elective surgery under general anesthesia at Pusan National University Hospital between June 2018 and February 2021 were participated in this study. Baseline StO2 on thenar eminence, hemodynamics, and laboratory profile were monitored before (Tpre) and 30 min after general anesthesia (Tpost). During vascular occlusion tests (VOT), the occlusion slope representing oxygen consumption of muscle and recovery slope representing microvascular reactivity were also collected at Tpre and Tpost. For analysis, the patients were divided into two groups: overweight (body mass index [BMI] ≥ 25 kg/m2) and normal weight (BMI < 25).
Status | Completed |
Enrollment | 128 |
Est. completion date | February 28, 2021 |
Est. primary completion date | February 28, 2021 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years and older |
Eligibility | Inclusion Criteria: - Subjects who underwent elective surgery under general anesthesia. Exclusion Criteria: - Society of Anesthesiologists (ASA) physical status > II - patients with a neuraxial block - uncontrolled hypertension - patients with major cardiovascular disease - diabetes - pregnant individuals - peripheral vascular disease - chronic venous insufficiency - smoking: Pack-years > 10 - chronic obstructive and restrictive pulmonary disease |
Country | Name | City | State |
---|---|---|---|
Korea, Republic of | Pusan National University Hospital | Busan |
Lead Sponsor | Collaborator |
---|---|
Pusan National University Hospital |
Korea, Republic of,
Cho AR, Lee HJ, Kim HJ, Do W, Jeon S, Baek SH, Kim ES, Kwon JY, Kim HK. Microvascular Reactivity Measured by Dynamic Near-infrared Spectroscopy Following Induction of General Anesthesia in Healthy Patients: Observation of Age-related Change. Int J Med Sci. 2021 Jan 1;18(5):1096-1103. doi: 10.7150/ijms.52433. eCollection 2021. — View Citation
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Recovery slope after general aneshtesia (Tpost) | Representing microvascular reactivity (Tpost: 30 minutes after general anesthesia); recovery slope was calculated from deflation of the tourniquet until the recovery of StO2 to the baseline value. | 10 minutes | |
Secondary | Recovery slope before general aneshtesia (Tpre) | Representing microvascular reactivity (Tpre: before general anesthesia); recovery slope was calculated from deflation of the tourniquet until the recovery of StO2 to the baseline value. | 10 minutes | |
Secondary | Occlusion slope before general anesthesia (Tpre) | representing oxygen consumption of muscle (Tpre: before general anesthesia); occlusion slope was defined as the slope of StO2 descent to the lowest value. | 10 minutes | |
Secondary | Occlusion slope before general anesthesia (Tpost) | representing oxygen consumption of muscle (Tpost: 30 minutes after general anesthesia); occlusion slope was defined as the slope of StO2 descent to the lowest value. | 10 minutes |
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