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| ID | Type | Description | Link |
|---|---|---|---|
| Claudia | Registry Identifier | Claudia |
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This study aimed to evaluate the possible protective effect of anesthetic technique balanced (BAL) compared to total intravenous anesthetic technique (TIVA-TCI) in ischemia reperfusion injury in microvascular flap in plastic surgery. The investigators will evaluate the viability of the flap using tissue oximetry monitoring and the level of biochemical markers in a circle at the end of the intervention.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Bilanced group | Experimental | Sevofluorane adjusted to obtain an Et-Sevo of 1.8-2%, for all the time of the surgical procedure. Remifentanyl TCI adjusted according to protocol to maintain the range of 1-3 ng / ml. |
|
| TCI group | Active Comparator | Propofol 3-4 mg / ml and remifentanyl 1-3 ng / ml according to protocol TCI |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Sevoflurane | Drug |
| ||
| Diprivan + Remifentanil TCI |
| Measure | Description | Time Frame |
|---|---|---|
| tissutal oximetry average value of the flap measured with INVOS (In Vivo Optical Spectroscopy) system continuously. | 24 hours from the end of intervention |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Regina Elena Cancer Institute | Rome | RM | 00144 | Italy |
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| ID | Term |
|---|---|
| D000077149 | Sevoflurane |
| D015742 | Propofol |
| ID | Term |
|---|---|
| D008738 | Methyl Ethers |
| D004987 | Ethers |
| D009930 | Organic Chemicals |
| D006845 | Hydrocarbons, Fluorinated |
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|
| D006846 |
| Hydrocarbons, Halogenated |
| D006838 | Hydrocarbons |
| D010636 | Phenols |
| D001555 | Benzene Derivatives |
| D006841 | Hydrocarbons, Aromatic |
| D006844 | Hydrocarbons, Cyclic |