Status:

NOT_YET_RECRUITING

Effects of Minimal-Flow Sevoflurane and Multimodal Analgesia in Head and Neck Cancer Surgery

Lead Sponsor:

National Taiwan University Hospital

Conditions:

Head and Neck Cancer

Anesthesia

Eligibility:

All Genders

18-99 years

Phase:

PHASE4

Brief Summary

This study evaluates the anesthetic-sparing and renal protection effects of minimal-flow sevoflurane anesthesia combined with multimodal analgesia using dexmedetomidine, ketamine, and lidocaine in hea...

Detailed Description

This study investigates the anesthetic-sparing and renal protection effects of minimal-flow sevoflurane anesthesia combined with a multimodal analgesia strategy using dexmedetomidine, ketamine, and li...

Eligibility Criteria

Inclusion

  • Age 18-99 years
  • Scheduled for head and neck cancer tumor resection and free flap reconstruction surgery

Exclusion

  • Preoperative tracheostomy
  • History of previous head and neck cancer tumor resection
  • Anemia (hematocrit \<30% or recent transfusion)
  • Hypertension on ACEI/ARB medications
  • Significant medical conditions (e.g., NYHA class 3 or 4 heart failure, eGFR \<60 ml/min/1.73 m², Child B or C liver failure, severe respiratory disorders, pre-existing cognitive impairment)
  • ASA physical status 4 or 5
  • Allergies to sevoflurane, dexmedetomidine, ketamine, or lidocaine

Key Trial Info

Start Date :

August 1 2024

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

December 1 2025

Estimated Enrollment :

60 Patients enrolled

Trial Details

Trial ID

NCT06521697

Start Date

August 1 2024

End Date

December 1 2025

Last Update

July 26 2024

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