Renal transplantation is the curative treatment in patients with end stage kidney disease. These patients have altered intraoperative anesthetic requirements compared with patients with maintained renal function. Sevoflurane is used for anesthesia in patients with end stage kidney disease. However, it is unknown if whether Sevoflurane has the same potency as in patients with maintained renal function. The minimum alveolar concentration is a measure of the potency of volatile anesthetics.
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Age 30-65 Study group End stage kidney disease (GFR 60ml/min/1.72m2) Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range 48 F.1.3 Elderly (>=65 years) no F.1.3.1 Number of subjects for this age range
Exclusion criteria
Exclusion criteria: Age 65 years old History of malignant Hypothermia Hypokalemia > 5,5mmol/l
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: The aim of this study is to determine the MAC of Sevoflurane in patients undergoing renal transplantation.;Secondary Objective: Determination of the serum concentrations of met-Enkephalin, leu-Enkephalin, beta-Endorphin, substance P und neuropetide.;Primary end point(s): Determination of MAC. Observation of patients movement to initial skin incision. Patients' reaction is defined as gross movement or no movement of leg, arms or head within 1 minute after skin incision.;Timepoint(s) of evaluation of this end point: Observation period starting with skin incision and ending after 1 minute. | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): Measurement of serum concentrations of met-Enkephalin, leu-Enkephalin, beta-Endorphin, substance P und neuropetide Y. ;Timepoint(s) of evaluation of this end point: After induction of anesthesia. | — |
Countries
Austria
Contacts
Medical University Vienna, Department of Anesthesia, Intensive Care Medicine and Pain Management