Ischemia
Conditions
Brief summary
Ischeic reperfusion injury lead to a cellular dyfunction and increase in soluble glycocalyx of blood flow. syndecan-1 was a marker of glycocalyx. The purpose of this study is to prove the variation of level of serum syndecan-1 between preoperative and postoperative period.
Detailed description
The patients were allocated randomly to receive propofol or desflurane. Also, a total of 6ml of blood sample was obtained for total 6 times in consecutive order. 1. Preoperation (immediate before anesthesia induction) 2. Immediate before tourniquet off 3. 5 min after tourniquet off 4. PACU 5. postoperative 6 hours 6. postoperative 24 hours Serum in blood will be obtained and level of serum cytokine will be evaluated by enzyme-linked immunosorbent assay
Interventions
Patient will be anesthetized by using propofol infusion during operation.
Patient will be anesthetized by using desflurane inhalation during operation.
Sponsors
Study design
Eligibility
Inclusion criteria
* patients who was planned to undergo knee surgery.
Exclusion criteria
* age \< 20 years old * history of previous cancer * history of previous peripheral vascular disease * Emergency surgery
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Syndecan-1 | Preoperative time, Immediate before tourniquet off,5 min after tourniquet off,PACU, postoperation after 6hours, postoperation after 24hours | change of level of syndecan-1 (scores range from 0 to 100) |
Countries
South Korea