Unique ID issued by UMIN | UMIN000009023 |
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Receipt number | R000010588 |
Scientific Title | Effects of perioperative propofol infusion on energy expenditure, fat metabolism, protein catabolism and clinical courses following esophageal cancer surgery |
Date of disclosure of the study information | 2012/10/03 |
Last modified on | 2018/04/08 00:56:16 |
Effects of perioperative propofol infusion on energy expenditure, fat metabolism, protein catabolism and clinical courses following esophageal cancer surgery
Comparison of two different anaesthesia/sedation techniques in esophageal cancer surgery : propofol anaesthesia/propofol sedation and sevoflurane anaesthesia/midazolam sedation
Effects of perioperative propofol infusion on energy expenditure, fat metabolism, protein catabolism and clinical courses following esophageal cancer surgery
Comparison of two different anaesthesia/sedation techniques in esophageal cancer surgery : propofol anaesthesia/propofol sedation and sevoflurane anaesthesia/midazolam sedation
Japan |
Esophageal cancer
Gastrointestinal surgery | Anesthesiology | Intensive care medicine |
Malignancy
NO
To Investigate the effects of perioperative propofol infusion on energy expenditure, fat metabolism, protein catabolism and clinical courses following esophageal cancer surgery
Pharmacodynamics
The primary outcome is set to demonstrate that propofol has significant effects on energy expenditure, fat metabolism and protein catabolism.
Secondary outcome includes improvement in postoperative clinical courses by propofol.
Interventional
Parallel
Randomized
Individual
Single blind -participants are blinded
Active
2
Treatment
Medicine |
The patients are devided into two groups: propofol anaesthesia/propofol sedation group (Group PP, n = 10) or sevoflurane anaesthesia/midazolam sedation group (Group SM, n = 10).
In Group PP, anaesthesia is induced with propofol and fentanyl, and maintained with propofol and fentanyl. Sedation is maintained with propofol.
In Group SM, anaesthesia is induced with thiamylal and fentanyl, and maintained with sevoflurane and fentanyl. Sedation is maintained with midazolam.
40 | years-old | <= |
80 | years-old | >= |
Male
Male patients who undergo elective thoracoabdominal esophagectomy with gastric tube reconstruction starting at 9:00 a.m. and had performance status 0 are entered .
Preoperative exclusion criteria includes the patients who are obese (Body Mass Index > 30), have histories of diabetic mellitus, hyperlipidemia, liver dysfunction, renal dysfunction(Cr > 1.0), high-calorie infusion administration or chemoradiotherapy within 1 month before the day of surgery, or take medications of beta-adrenergic blocking agents, steroid agents or non-steroid anti-inflammatory drugs (NSAIDs). Postoperative exclusion criteria includes the patients who are in need of inspiratory oxygen fraction > 0.6 or positive end-expiratory pressure > 5 cmH2O during mechanical ventilation, dopamine > 3 microgram/kg/min, insulin, diuretic drugs, NSAIDs or beta-adrenergic blocking agents during intensive care unit stay.
20
1st name | |
Middle name | |
Last name | Ryuichi Nakanuno |
Hiroshima University Hospital
Department of Anesthesiology and Critical Care
1-2-3 Kasumi, Minami-ku, Hiroshima 734-8551, Japan
082-257-5267
nakanuno@hiroshima-u.ac.jp
1st name | |
Middle name | |
Last name | Ryuichi Nakanuno |
Hiroshima University Hospital
Department of Anesthesiology and Critical Care
1-2-3 Kasumi, Minami-ku, Hiroshima 734-8551, Japan
082-257-5267
nakanuno@hiroshima-u.ac.jp
Department of Anesthesiology and Critical Care, Hiroshima University Hospital
The Hiroshima University Support Foundation
Non profit foundation
Japan
NO
2012 | Year | 10 | Month | 03 | Day |
Published
Propofol anesthesia and postoperative propofol sedation resulted in a reduced peak postoperative bladder temperature and lower postoperative C-reactive protein levels than sevoflurane anesthesia followed by midazolam sedation. However, propofol infusion did not show significant effect on energy expenditure, fat metabolism, protein catabolism and clinical courses.
Completed
2007 | Year | 07 | Month | 01 | Day |
2007 | Year | 07 | Month | 02 | Day |
2012 | Year | 10 | Month | 02 | Day |
2018 | Year | 04 | Month | 08 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000010588
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