Health Condition 1: O- Medical and Surgical Health Condition 2: K721- Chronic hepatic failure
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Patients undergoing elective living donor liver transplantation for chronic liver disease Agrees to participate in research Age 18-65 years
Exclusion criteria
Exclusion criteria: Refusal to consent Acute liver failure, Acute on chronic liver failure Allergic to propofol or any component of propofol Patients with pre existing cardiac dysfunction and cardiomyopathy Patients with pre existing renal dysfunction/ deranged RFTs preoperatively
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Desflurane is comparable to TIVA with Propofol in preventing hepatocyte ischemia-reperfusion injury and promoting hepatic regeneration. Timepoint: 14 days | — |
Secondary
| Measure | Time frame |
|---|---|
| To compare the serum levels of liver regeneration markers [hepatocyte growth factor(HGF), Vascular enndothelial growth factor(VEGF)] during baseline, POD 1 and 7 Comparison of the incidence of ischemia reperfusion injury using the serum levels of markers CK 8/18, VWF, IL-6, IL-1ß, TNF-a, HMGB-1, mtDNA, LDH, lactic acid during baseline, immediate post-reperfusion(30min-1hr), early post-reperfusion(6h-12h), early postoperative period(24h-48h). To compare the incidence and severity of post reperfusion syndrome To compare the liver function tests (Sr. Bilirubin, AST, ALT, GGT, albumin, platelet count, prothrombin time, INR, lactate) during baseline, POD 1 to 7 Timepoint: 7 days | — |
Countries
India
Contacts
Institute of liver and biliary sciences