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To study the effect of different anaesthetic methods on pediatric neurocognitive development and cerebral injury during pediatric living related liver transplantation .
Since the 1960 s, with the successful development of liver transplantation, it has become an important method for the treatment of patients with end-stage liver disease.Biliary atresia1 is the most frequent causes of pediatric end-stage liver disease,.The morbidity of congenital biliary atresia is 1/8000-18, 0002 ,which influence the patients' overall growth and development situation. The rising of living donor liver transplantation has provide children with the chance of a timely treatment since the 1980 s, It is no doubt that pediatric liver transplantation is facing with many complications, including the most importance of neurocognitive development .Now the researches of neurological complications is less .According to statistics, the incidence of neurological complications after pediatric liver transplantation was 8% - 46% . So it is necessary to research the neurological complications and brain protection strategy .Previous studies have studied that some anaesthetic have uncertain affect on the development of children.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| sevoflurane | Experimental | Sevoflurane is inhalated with 1%-2% after anesthesia induction until end of the surgery. |
|
| propofol | Experimental | Propofol is injected with 9-15 mg/kg/h after anesthesia induction until end of the surgery. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Sevoflurane | Drug | Sevoflurane: 1%~2% |
| |
| Propofol |
| Measure | Description | Time Frame |
|---|---|---|
| Evidence of cerebral injury including S-100 β protein, neurospecific enolase confirmed by electrochemiluminescence | before skin incision, 0.5 hour after anhepatic,1 hour of neohepatic stage,the end of surgery,24 hours after operation | |
| Evidences of inflammatory factor such as interleukin-6,interleukin-10,et al confirmed by electrochemiluminescence | before skin incision, 0.5 hour after anhepatic,1 hour of neohepatic stage,the end of surgery,24 hours after operation |
| Measure | Description | Time Frame |
|---|---|---|
| Evaluation of neurocognitive disorder using Bayley Scales of Infant Development | 1 day before surgery, 7days,14 days and 21days of post-operation | |
| Evaluation of delirium using Pediatric Anesthesia Emergence Delirium | Within 1 days after extubation |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| No.24 Fukang Road,Nankai District | Tianjin | Tianjin Municipality | 300192 | China |
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| ID | Term |
|---|---|
| D019965 | Neurocognitive Disorders |
| D001930 | Brain Injuries |
| ID | Term |
|---|---|
| D001523 | Mental Disorders |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
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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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| Drug |
Propofol: 9-15 mg/kg/h |
|
| hemodynamics index | before skin incision, 0.5 hour after anhepatic,1 hour of neohepatic stage,the end of surgery,24 hours after operation |
| D006259 | Craniocerebral Trauma |
| D020196 | Trauma, Nervous System |
| D014947 | Wounds and Injuries |
| D006846 |
| Hydrocarbons, Halogenated |
| D006838 | Hydrocarbons |
| D010636 | Phenols |
| D001555 | Benzene Derivatives |
| D006841 | Hydrocarbons, Aromatic |
| D006844 | Hydrocarbons, Cyclic |