Postoperative Complications
Conditions
Brief summary
Studying the effects of both inhalational anesthetics desflurane and sevoflurane on hepatic integrity and renal function, guided by recent blood and urine biomarkers in patients undergoing laparoscopic cholecystectomy surgery.
Interventions
The evaluation of inhalational anesthetics (desflurane and sevoflurane) on NGAL levels in laparoscopic cholecystectomy patients.
Desflurane
Sevoflurane
Sponsors
Study design
Eligibility
Inclusion criteria
1. American Society of Anesthesiologists (ASA) Class: I&II. 2. Elective laparoscopic cholecystectomy. 3. Age: 25-55 years. 4. Gender: Both male and female. 5. Body Mass Index (BMI): 18.5-24.9 km2-(Normal weight).
Exclusion criteria
1. Extremes of age. 2. Abnormal hepatic function by alanine aminotransferase (ALT) and aspartate aminotransferase (AST) values outside the normal range. 3. Abnormal renal function by blood urea nitrogen (BUN) and creatinine above the normal ranges. 4. Hypertension, unstable angina pectoris or myocardial infarction within the last six months. 5. Pregnancy and lactation. 6. Bronchial asthma. 7. Drug allergies. 8. Alcohol or drug addiction. 9. General anesthesia within the last three months.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in serum Neutrophil gelatinase-associated lipocalin (NGAL) | a change from baseline NGAL serum level at 6 hours | Renal Biomarker |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in urine Netrin-1 | Baseline, first hour, six hours, after 24 hours | Renal biomarker |
| Change in urine Kidney Injury Molecule | Baseline, first hour, six hours, after 24 hours | Renal biomarker |
| Change in serum Cystatin-c | Baseline, first hour, six hours, after 24 hours | Hepatic biomarker |
| Change in urine Alpha-Glutathione S-Transferase | Baseline, first hour, six hours, after 24 hours | Liver biomarker |
| Change in serum Arginase | Baseline, first hour, six hours, after 24 hours | Hepatic biomarker |
| Change in urine Interleukin-18 | Baseline, first hour, six hours, after 24 hours | cytokines |
Countries
Egypt