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Trial registered on ANZCTR
Registration number
ACTRN12612000305820
Ethics application status
Approved
Date submitted
13/03/2012
Date registered
16/03/2012
Date last updated
16/03/2012
Type of registration
Retrospectively registered
Titles & IDs
Public title
Target-controlled propofol infusion anaesthesia provides better immediate anaesthesia outcome than desflurane anaesthesia in liver transplantation patients
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Scientific title
This retrospective comparative study was compared the outcomes in the perioperative management and postoperative recovery which performed in deceased or living donor liver transplantation recipients who received total intravenous anesthesia with propofol versus desflurane anesthesia.
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Secondary ID [1]
280109
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Nil
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Universal Trial Number (UTN)
U1111-1129-0228
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Associated patient outcome in deceased or living donor liver transplantation recipients who received TIVA with propofol anesthesia versus desflurane anesthesia
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Condition category
Condition code
Anaesthesiology
286226
286226
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0
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Anaesthetics
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Oral and Gastrointestinal
286267
286267
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0
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Other diseases of the mouth, teeth, oesophagus, digestive system including liver and colon
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Intervention/exposure
Study type
Observational
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Patient registry
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
The retrospective comparative study compared the outcomes in the perioperative management and postoperative recovery in deceased or living donor liver transplantation recipients who received total intravenous anesthesia with propofol or desflurane anesthesia at Tri-Service General Hospital.
Medical records of all the liver recipients were collected and reviewed from September 2007 to August 2010.
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Intervention code [1]
284450
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Not applicable
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Comparator / control treatment
Electronic/paper medical records of all the liver recipients who underwent primary deceased or living-donor LT were collected and reviewed from September 2007 to August 2010.
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Control group
Active
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Outcomes
Primary outcome [1]
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Norepinephrine use during reperfusion as assessed by medical records.
After reperfusion, bolus of norepinephrine was used to keep mean arterial pressure above 60 mmHg or within 30% of pre-reperfusion systolic arterial pressure.
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Assessment method [1]
286705
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Timepoint [1]
286705
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During reperfusion period (via paper medical records)
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Secondary outcome [1]
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Postoperative recovery outcomes: awake time
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Assessment method [1]
296497
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Timepoint [1]
296497
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at any time during the study period (via electronic/paper medical records)
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Secondary outcome [2]
296553
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Postoperative recovery outcomes: extubation time
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Assessment method [2]
296553
0
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Timepoint [2]
296553
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at any time during the study period (via electronic/paper medical records)
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Secondary outcome [3]
296554
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Alanine aminotransferase (ALT) concentration
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Assessment method [3]
296554
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Timepoint [3]
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24 hours after transplantation
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Secondary outcome [4]
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Postoperative recovery outcomes: intensive care unit (ICU) stay
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Assessment method [4]
296555
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Timepoint [4]
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at least 60 days after surgery (via electronic/paper medical records)
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Secondary outcome [5]
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Postoperative recovery outcomes: days in hospital
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Assessment method [5]
296556
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Timepoint [5]
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at least 60 days after surgery (via electronic/paper medical records)
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Eligibility
Key inclusion criteria
All the liver recipients who received total intravenous anesthesia with propofol or desflurane anesthesia operated at Tri-Service General Hospital from September 2007 to August 2010.
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Minimum age
18
Years
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Maximum age
70
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Patients were excluded if they met any of the following criteria: presence of encephalopathy, requirements for pretransplant endotracheal intubation/mechanical ventilation, or use of vasopressors before transplantation.
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Study design
Purpose
Natural history
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Duration
Cross-sectional
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Selection
Defined population
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Timing
Retrospective
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
1/01/2011
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
128
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Accrual to date
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Final
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Recruitment outside Australia
Country [1]
4193
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Taiwan, Province Of China
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State/province [1]
4193
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Funding & Sponsors
Funding source category [1]
284880
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Self funded/Unfunded
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Name [1]
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Chueng-He Lu
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Address [1]
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Department of Anesthesiology
Tri-Service General Hospital
#325, Section 2, Chenggung Road, Neihu 114, Taipei
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Country [1]
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Taiwan, Province Of China
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Primary sponsor type
Individual
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Name
Chueng-He Lu
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Address
Department of Anesthesiology
Tri-Service General Hospital
#325, Section 2, Chenggung Road, Neihu 114, Taipei
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Country
Taiwan, Province Of China
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Secondary sponsor category [1]
283759
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None
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Name [1]
283759
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Address [1]
283759
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Country [1]
283759
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
286872
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Institutional Review Board of Tri-Service General Hospital
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Ethics committee address [1]
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#325, Section 2, Chenggung Road, Neihu 11490, Taipei
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Ethics committee country [1]
286872
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Taiwan, Province Of China
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Date submitted for ethics approval [1]
286872
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Approval date [1]
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14/12/2010
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Ethics approval number [1]
286872
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099-05-204
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Summary
Brief summary
Total intravenous anesthesia (TIVA) with continuous propofol infusion has been successfully used for liver transplantation (LT). In these reports, a significant increase in propofol plasma concentration was observed in the anhepatic phase; it may lead to over dosage of propofol and compromise the intraoperative hemodynamics. Target-controlled infusion (TCI) device allow anesthesiologists to provide excellent anesthesia by controlling the theoretical concentration of the drug. Wu et al., had demonstrated that the Marsh pharmacokinetic model of TCI is not suitable for LT patients, and suggested that anesthesiologists should use an effective parameter, such as the bispectral index (BIS), spectral entropy or auditory evoked potential (AEP) monitoring, as another guide of propofol to control the TCI pump during LT. In addition, regarding the propofol pharmacokinetics during the anhepatic phase, a case series advocates the usefulness of BIS monitoring to titrate propofol infusion when using TCI anesthesia. The composite A-line autoregressive index (AAI) of the AEP monitoring has been studied as an adequate method to monitor anesthetic depth. The aim of this study was to retrospectively investigate the influence of perioperative anesthetic management and postoperative recovery of TIVA with propofol anesthesia compared to inhalation anesthesia with desflurane during LT.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Address
33894
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Country
33894
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Phone
33894
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Fax
33894
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Email
33894
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Contact person for public queries
Name
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Chueng-He Lu
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Address
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Department of Anesthesiology
Tri-Service General Hospital
#325, Section 2, Chenggung Road, Neihu 114, Taipei
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Country
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Taiwan, Province Of China
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Phone
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+886-2-87927128
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Fax
17141
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+886-2-87927127
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Email
17141
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[email protected]
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Contact person for scientific queries
Name
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Chueng-He Lu
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Address
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Department of Anesthesiology
Tri-Service General Hospital
#325, Section 2, Chenggung Road, Neihu 114, Taipei
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Country
8069
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Taiwan, Province Of China
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Phone
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+886-2-87927128
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Fax
8069
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+886-2-87927127
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Email
8069
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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