Status:

NOT_YET_RECRUITING

General Versus Regional Anesthesia in Peripheral Arterial Surgery

Lead Sponsor:

Hospital de Clinicas de Porto Alegre

Collaborating Sponsors:

Grupo Hospitalar Conceição

Conditions:

Postoperative Complications

Cardiovascular Diseases

Eligibility:

All Genders

18+ years

Phase:

NA

Brief Summary

This multicenter, prospective, randomized clinical trial aims to compare the effects of spinal (neuraxial) anesthesia with spontaneous ventilation versus general anesthesia with mechanical ventilation...

Detailed Description

This is a prospective, randomized, multicenter clinical trial designed to evaluate the impact of the anesthetic technique-general anesthesia with mechanical ventilation versus spinal (neuraxial) anest...

Eligibility Criteria

Inclusion

  • Adults aged ≥18 years
  • ASA physical status II to IV
  • Scheduled for elective peripheral arterial revascularization of the lower limbs
  • Diagnosis of symptomatic peripheral arterial disease with critical limb ischemia
  • Able and willing to provide informed consent

Exclusion

  • Body mass index (BMI) \> 40 kg/m²
  • Emergency vascular surgery
  • History of lung resection surgery
  • Persistent hemodynamic instability preoperatively
  • History of bronchial asthma or chronic corticosteroid therapy
  • History of neuromuscular disorders
  • Current use of anticoagulants or antiplatelet agents contraindicating spinal anesthesia
  • Contraindications to spinal anesthesia (e.g., patient refusal, infection at puncture site, increased intracranial pressure, inability to cooperate due to agitation or cognitive impairment)
  • Acute vascular obstruction or other vascular complications not consistent with elective revascularization

Key Trial Info

Start Date :

July 1 2025

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

June 30 2028

Estimated Enrollment :

594 Patients enrolled

Trial Details

Trial ID

NCT06953128

Start Date

July 1 2025

End Date

June 30 2028

Last Update

June 26 2025

Active Locations (1)

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1

Andre Prato Schmidt

Porto Alegre, Rio Grande do Sul, Brazil, 90035903