Anesthesia, Obesity
Conditions
Keywords
Oxidative stress, Bariatric surgery
Brief summary
Evaluate the effects of propofol compared with desflurane on oxidative stress and inflammation markers in obese patients undergoing scheduled bariatric surgery.
Detailed description
Obese patients have a high level of oxidative stress and inflammation activity. Desflurane is an anesthetic gas often used for obese patients. Propofol, another anesthetic agent, has shown an antioxidant property. The aim of the study is to compare the effects of propofol with desflurane on oxidative stress and inflammation markers in obese patients.
Interventions
General anesthesia will be induced with sufentanyl (0.2µg/kg) and thiopental (5mg/kg) and maintained by desflurane
General anesthesia will be induced with propofol (2mg/kg) and sufentanyl (0.2µg/kg) and maintained by propofol in a target-controlled infusion mode
Sponsors
Study design
Eligibility
Inclusion criteria
* Body Mass Index (BMI) \>35 * scheduled gastric by pass surgery * American Society of Anesthesiologists (ASA) \<III
Exclusion criteria
* Allergic to anesthesia agent * patient refusal
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Malondialdehyde (MDA) level in blood sample | up to 24 hours post bariatric surgery | Plasma MDA level is measured as an oxidative stress marker before the surgery, at 1 hour, 2 hours, 24 hours post-surgical incision. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| C-Reactive Protein (CRP) in blood sample | up to 24 hours post bariatric surgery | Plasma CRP level is measured as an inflammation marker before the surgery, at 1 hour, 2 hours, 24 hours post-surgical incision. |
| Monocyte level in blood sample | up to 24 hours post bariatric surgery | Monocyte level is measured as an inflammation marker before the surgery, at 1 hour, 2 hours, 24 hours post-surgical incision. |
| Pain assessed by Visual Analog Scale (VAS) | up to 48 hours after surgery | Pain level is determined at 2 hours, 24 hours and 48 hours post-surgical incision. Visual analog pain score (scale = 0 no pain; 10= worst pain imaginable) |
| Side-effects (nausea, vomiting, somnolence, respiratory depression) | up to 48 hours after surgery | Evaluation at 2 hours, 24 hours and 48 hours post-surgical incision |