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| ID | Type | Description | Link |
|---|---|---|---|
| NMU-08-1090 |
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| Name | Class |
|---|---|
| HRSA/Maternal and Child Health Bureau | FED |
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The change of airway responsiveness and alveolar macrophage (AM) immunity occurs during the pathogenesis of asthma. Macrophage-associated airway protection in patients with asthma is affected positively or negatively by propofol general anesthesia. The investigators hypothesized that the effects of propofol on asthmatic AMs and corresponding airway reactivity in vivo is different from the in vitro research. Through in vivo airway hyperresponsiveness (AHR) observation and clinical investigation of AM immune functions from asthma patients undergoing propofol general anesthesia to clarify the precise effects of propofol on AM immunity, and to provide theoretical basis for the clinical administration of propofol in asthmatic patients. This would optimize the practice of clinical anesthesia, especially for those with the tendency of AHR.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 1 | Propofol general anesthesia for asthmatic patients |
| |
| 2 | Propofol general anesthesia for non-asthmatic patients |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| 2,6-Diisopropylphenol | Drug | Propofol general anesthesia was performed in patients with asthma (1) and without asthma (2) |
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| Measure | Description | Time Frame |
|---|---|---|
| Alveolar macrophage viability assay | One day prior to the surgery, immediately after anaesthesia, at the beginning and the end of the operation and one day after surgeries. |
| Measure | Description | Time Frame |
|---|---|---|
| Alveolar macrophage phagocytosis Assay | One day prior to the surgery, immediately after anaesthesia, at the beginning and the end of the operation and one day after surgeries. | |
| Alveolar macrophage cytokine Assay | One day before the surgery, immediately after anaesthesia, at the beginning and the end of the operation and one day after surgeries. |
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Inclusion Criteria:
Exclusion Criteria:
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Patients with or without asthma undergoing general anesthesia
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| Name | Affiliation | Role |
|---|---|---|
| XiaoFeng Shen, MD | Nanjing Medical University | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Nanjing Maternal and Child Health Care Hospital | Nanjing | Jiangsu | 210004 | China |
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| ID | Term |
|---|---|
| D001249 | Asthma |
| ID | Term |
|---|---|
| D001982 | Bronchial Diseases |
| D012140 | Respiratory Tract Diseases |
| D008173 | Lung Diseases, Obstructive |
| D008171 | Lung Diseases |
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| ID | Term |
|---|---|
| D015742 | Propofol |
| ID | Term |
|---|---|
| D010636 | Phenols |
| D001555 | Benzene Derivatives |
| D006841 | Hydrocarbons, Aromatic |
| D006844 | Hydrocarbons, Cyclic |
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| Mean airway pressure | Before operation to the end of the surgery. |
| Curve shape of CO2 | Before operation to the end of the surgery. |
| End-tidal CO2 | Before operation to the end of the surgery. |
| D012130 |
| Respiratory Hypersensitivity |
| D006969 | Hypersensitivity, Immediate |
| D006967 | Hypersensitivity |
| D007154 | Immune System Diseases |
| D006838 |
| Hydrocarbons |
| D009930 | Organic Chemicals |