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Prolonged corrected QT interval (QTc) has been observed in about half of patients with liver cirrhosis. Marked prolongation of QTc (ie, 500 msec) has been considered to be a risk factor for fatal ventricular arrhythmia, such as torsade de pointes,7,8 which has been reported in liver transplantation (LT) surgery. In a previous study, prolonged QTc interval ( 500 msec) was frequently observed throughout the procedure of LT, even among patients with baseline QTc 440 msec. Therefore, it is important to optimize electrolyte balance and hemodynamic status to reduce greater risk of perioperative arrhythmias.
The investigators hypothesized that the change of QTc interval might be differ according to method of general anesthesia (inhalation agent vs. intravenous agent).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| inhalation anesthesia (desflurane) group | Experimental | Anesthesia is induced and maintained with desflurane and sufentanil |
|
| Total intravenous anesthesia (propofol) group | Experimental | Anesthesia is induced and maintained with propofol and sufentanil |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| inhalation (desflurane) group | Drug | Anesthesia is induced and maintained with desflurane and sufentanil |
|
| Measure | Description | Time Frame |
|---|---|---|
| QTc interval | The investigator will assess the QTc interval 3 minutes after the reperfusion during liver transplantation. | 3 minutes after liver reperfusion |
| Measure | Description | Time Frame |
|---|---|---|
| QTc interval | The investigator will assess the QTc interval at the end of liver transplantation. | at the end of the surgery |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Department of Anesthesiology and Pain Medicine, Anesthesia and Pain Research Institute, Yonsei University College of Medicine | Seoul | 120-752 | South Korea |
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Data will become available when the script for this study is accepted in journal.
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Arm 1: inhalation anesthesia (desflurane) group Arm 2: total intravenous anesthesia (propofol) group
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patients will be randomly allocated to 2 groups using computer-generated randomization method. Care provider will not be blinded to the group allocation, because anesthesiologists should be aware of the method of anesthesia.
| total intravenous (propofol) anesthesia | Drug | Anesthesia is induced and maintained with propofol and sufentanil |
|
| ID | Term |
|---|---|
| D001239 | Inhalation |
| D000077335 | Desflurane |
| D044382 | Population Groups |
| D015742 | Propofol |
| D000758 | Anesthesia |
| ID | Term |
|---|---|
| D015656 | Respiratory Mechanics |
| D012119 | Respiration |
| D012143 | Respiratory Physiological Phenomena |
| D002943 | Circulatory and Respiratory Physiological Phenomena |
| D005019 | Ethyl Ethers |
| D004987 | Ethers |
| D009930 | Organic Chemicals |
| D008738 | Methyl Ethers |
| D006845 | Hydrocarbons, Fluorinated |
| D006846 | Hydrocarbons, Halogenated |
| D006838 | Hydrocarbons |
| D003710 | Demography |
| D011154 | Population Characteristics |
| D010636 | Phenols |
| D001555 | Benzene Derivatives |
| D006841 | Hydrocarbons, Aromatic |
| D006844 | Hydrocarbons, Cyclic |
| D000760 | Anesthesia and Analgesia |
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