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At present, there are limited data on perioperative efficacy of barbiturates at home and abroad. The purpose of this clinical trial is to observe the effects of amobarbital sodium combined with low-dose propofol on hemodynamics during induction and perioperative adverse reactions in gynecological laparoscopic surgery patients, and to provide a more reasonable, safe and comfortable anesthesia program for female patients who undergoing laparoscopic surgery.
The main questions it aims to answer are:
Participants will:
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| amobarbital-propofol group | Experimental | Participants were given amobarbital sodium 1 mg/kg 1 min before induction and propofol 1.5mg /kg following. |
|
| propofol group | Placebo Comparator | The propofol group was given the same volume of normal saline 1 min before induction, followed by propofol 2.5mg /kg. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Amobarbital | Drug | Participants with gynecological laparoscopic surgery who met the trial inclusion criteria were randomly divided into 2 groups. After entering the room, peripheral intravenous infusion was opened and oxygen was absorbed by the mask for 5 L/min. Mean arterial pressure, heart rate and oxygen saturation were routinely monitored. After positioning, the amobarbital-propofol group was given amobarbital sodium 1 mg/kg 1 min before induction, followed by Sufentanil 0.5ug /kg, cisatracurium 0.2mg /kg, penehyclidine hydrochloride 0.01mg /kg, propofol 1.5mg /kg for general anesthesia induction. The propofol group was given the same volume of normal saline 1 min before anesthesia induction, followed by Sufentanil 0.5ug /kg, cisatracurium 0.2mg /kg, penehyclidine hydrochloride 0.01mg /kg, propofol 2.5mg /kg. |
| Measure | Description | Time Frame |
|---|---|---|
| Mean arterial pressure (MAP) during Induction of anesthesia | MAP was recorded as the main index of hemodynamics during anesthesia induction | Up to 3 hours |
| Measure | Description | Time Frame |
|---|---|---|
| MAP at different time points | MAP at different time points (including before induction, tracheal intubation, cutting the skin, extubation) | Up to 3 hours |
| Incidence of postoperative nausea and vomiting (ponv) |
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Inclusion Criteria:
Exclusion Criteria:
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| ID | Term |
|---|---|
| D000654 | Amobarbital |
| D015742 | Propofol |
| ID | Term |
|---|---|
| D001463 | Barbiturates |
| D011744 | Pyrimidinones |
| D011743 | Pyrimidines |
| D006573 | Heterocyclic Compounds, 1-Ring |
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|
| Propofol | Drug | propofol |
|
The incidence of perioperative adverse reactions (ponv) was recorded
| 24 hours |
| D006571 |
| Heterocyclic Compounds |
| D010636 | Phenols |
| D001555 | Benzene Derivatives |
| D006841 | Hydrocarbons, Aromatic |
| D006844 | Hydrocarbons, Cyclic |
| D006838 | Hydrocarbons |
| D009930 | Organic Chemicals |