Page last updated: 2024-11-06

desflurane

Description Research Excerpts Clinical Trials Roles Classes Pathways Study Profile Bioassays Related Drugs Related Conditions Protein Interactions Research Growth Market Indicators

Description

Desflurane: A fluorinated ether that is used as a volatile anesthetic for maintenance of general anesthesia. [Medical Subject Headings (MeSH), National Library of Medicine, extracted Dec-2023]

Cross-References

ID SourceID
PubMed CID42113
CHEMBL ID1200733
CHEBI ID4445
SCHEMBL ID62917
MeSH IDM0151698

Synonyms (64)

Synonym
1,1,1,2-tetrafluoro-2-(difluoromethoxy)ethane
i-653
CHEBI:4445 ,
difluoromethyl 1,2,2,2-tetrafluoroethyl ether
suprane
2-(difluoromethoxy)-1,1,1,2-tetrafluoroethane
(+-)-2-difluoromethyl 1,2,2,2-tetrafluoroethyl ether
ethane, 2-(difluoromethoxy)-1,1,1,2-tetrafluoro-
desflurano [inn-spanish]
i 653
desfluranum [inn-latin]
ethane, 2-(difluoromethoxy)-1,1,1,2-tetrafluoro-, (+-)-
57041-67-5
desflurane
C07519
DB01189
(+/-)-2-difluoromethyl 1,2,2,2-tetrafluoroethyl ether
suprane (tn)
D00546
desflurane (jan/usp/inn)
CHEMBL1200733
AKOS006228397
unii-crs35bz94q
crs35bz94q ,
hsdb 8058
desflurano
desfluranum
desflurane [usan:usp:inn:ban]
FT-0624525
1,2,2,2-tetrafluoroethyl difluoromethyl ether
gtpl7156
desflurane [mart.]
desflurane [ep monograph]
desflurane [usp monograph]
desflurane [orange book]
desflurane [jan]
desflurane [mi]
desflurane [who-dd]
desflurane [usp-rs]
desflurane [vandf]
desflurane [usan]
desflurane [inn]
ethane, 2-(difluoromethoxy)-1,1,1,2-tetrafluoro-, (+/-)-
SCHEMBL62917
chf2ochfcf3
mfcd00236716
desfluran-o
DTXSID80866606 ,
Q419383
difluoromethyl1,2,2,2-tetrafluoroethylether
gtqdypawjdialy-uhfffaoysa-n
EN300-7635854
dtxcid30814874
desflurane (ep monograph)
desflurane (usp-rs)
(2rs)-2-(difluoromethoxy)-1,1,1,2-tetrafluoroethane
desflurane (usp monograph)
desflurano (inn-spanish)
n01ab07
desflurane (mart.)
ethane, 2-(difluoromethoxy)-1,1,1,2-tetrafluoro-,(+-)-
desfluranum (inn-latin)
desflurane (usan:usp:inn:ban)
(+/-)1,2,2,2-tetrafluoroethyl difluoromethyl ether

Research Excerpts

Overview

Desflurane (Des)--is a modern inhalation anaesthetic available in Russia since August, 2013. It is a mainstay of general inhaled anesthetics with a methyl ethyl ether structure and is widely used in clinical practice.

ExcerptReferenceRelevance
"Desflurane is an inhalational anesthetic agent with an appealing recovery profile. "( Clinical Effects and Adverse Events Associated With Desflurane Use in Adult Patients Undergoing Supratentorial Craniotomy: A Systematic Review.
Gkantinas, G; Kouki, P; Lelekaki, E; Lykoudis, PM; Tataki, EΙ, 2024
)
3.14
"Desflurane is a mainstay of general inhaled anesthetics with a methyl ethyl ether structure and is widely used in clinical practice. "( Oxidative and pro-inflammatory lung injury induced by desflurane inhalation in rats and the protective effect of rutin.
Aktas, M; Arslan, YK; Cimen, FK; Olmez, H; Ozcicek, A; Suleyman, H; Tosun, M; Unver, E, 2021
)
2.31
"Desfluraneis a widely-used general anesthetics. "( Lipoic acid inhibited desflurane-induced hippocampal neuronal apoptosis through Caspase3 and NF-KappaB dependent pathway.
Bu, M; Li, B; Zhang, Y; Zhao, H, 2018
)
2.24
"Desflurane (Des)--is a modern inhalation anaesthetic available in Russia since August, 2013. "( [Application of desflurane in anaesthesiology].
Lubnin, AIu; Moshchev, DA,
)
1.92
"Desflurane is a common anesthetic with potent effects on synaptic transmission."( Is hemifacial spasm a phenomenon of the central nervous system? --The role of desflurane on the lateral spread response.
Chowdhury, T; Kaufmann, AM; Mutch, WA; Wilkinson, MF, 2015
)
1.37
"Desflurane is a preferable volatile anesthetic agent for elderly patients because it facilitates shorter recovery from general anesthesia."( Recovery of postoperative cognitive function in elderly patients after a long duration of desflurane anesthesia: a pilot study.
Hayase, T; Kazuma, S; Osuda, M; Tachibana, S; Yamakage, M, 2015
)
1.36
"Desflurane is an inhalational anaesthetic, which first appeared on Russian market in 2013, according to the specifications meet the above-mentioned requirements."( [Our experience of the clinical use of desflurane].
Bliznov, AA; Stets, VV; Untu, FI; Zavarzin, AIu, 2014
)
1.39
"Desflurane is a volatile anaesthetic agent with neuroprotective properties. "( Desflurane increased the activity of excitatory amino-acid carrier 1 (EAAC1) expressed in Xenopus oocytes.
Do, SH; Gu, BW; Park, SJ; Ryu, JH; Shin, HJ; Woo, KI; Zuo, Z, 2015
)
3.3
"Desflurane is a volatile anesthetic agent with low solubility whose use in neurosurgery has been debated because of its effect on intracranial pressure and cerebral blood flow. "( The effects of isoflurane and desflurane on intracranial pressure, cerebral perfusion pressure, and cerebral arteriovenous oxygen content difference in normocapnic patients with supratentorial brain tumors.
Aymerich, H; Belda, J; Fraga, M; Pose, P; Rama-Maceiras, P; Rodiño, S, 2003
)
2.05
"Desflurane is a halogenated methylethylether which is administered by inhalation."( [Biological monitoring of occupational exposure to desflurane].
Alessio, A; Cavalleri, A; Ghittori, S; Imberti, R; Imbriani, M; Maestri, L; Negri, S; Zadra, P,
)
1.1
"Desflurane is a volatile anesthetic that allows rapid induction and emergence, reduces cerebral metabolism, and enhances tissue perfusion. "( Desflurane improves the recovery of the evoked postsynaptic population spike from CA1 pyramidal cells after hypoxia in rat hippocampal slices.
Bendo, AA; Cottrell, JE; Dimaculangan, D; Kass, IS; Sims, R, 2006
)
3.22
"Desflurane is an alternative to propofol for BIS-guided ambulatory anesthesia."( Bispectral index-guided desflurane and propofol anesthesia in ambulatory arthroscopy: comparison of recovery and discharge profiles.
Camci, E; Celenk, Y; Koltka, K; Pembeci, K; Tugrul, M, 2006
)
1.36
"Desflurane is a step towards a more ideal inhaled agent; however, there is still the need to synthesise and evaluate new chemical entities in order that the ideal can more nearly be approached."( Is there a need for a new inhalational anaesthetic agent?
Jones, RM; Ward, PM, 1995
)
1.01
"Desflurane is a new volatile, inhaled anaesthetic that differs significantly from presently available inhaled agents in being halogenated solely with fluorine. "( Physicochemical properties and pharmacodynamics of desflurane.
Eger, EI, 1995
)
1.99
"Desflurane is a new volatile anaesthetic agent, with qualitative physiological and pharmacological effects similar to those of previously available drugs of this type. "( Desflurane clinical pharmacokinetics and pharmacodynamics.
Caldwell, JE, 1994
)
3.17
"Desflurane is a new fluorinated ether with rapid onset of and recovery from anaesthesia. "( New drug in volatile anaesthesia--desflurane.
Graham, SG, 1994
)
2.01
"Desflurane is a new potent, inhaled anesthetic agent with low blood-gas solubility that should allow for the rapid induction of and emergence from anesthesia. "( Recovery characteristics of desflurane versus halothane for maintenance of anesthesia in pediatric ambulatory patients.
Cohen, IT; Davis, PJ; Latta, K; McGowan, FX, 1994
)
2.03
"Desflurane is a volatile anaesthetic that combines low blood gas solubility (blood/gas partition coefficient = 0.42 at 37 degrees C), moderate potency (MAC = 6-7%), and high volatility (vapour pressure = 681 mmHg at 20 degrees C, boiling point = 23.5 degrees C). "( Consequences of misfilling contemporary vaporizers with desflurane.
Andrews, JJ; Johnston, RV; Kramer, GC, 1993
)
1.97
"Desflurane is a halogenated ether inhalation general anaesthetic agent with low solubility in blood and body tissues, and approximately one-fifth the potency of isoflurane. "( Desflurane. A review of its pharmacodynamic and pharmacokinetic properties and its efficacy in general anaesthesia.
Goa, KL; Patel, SS, 1995
)
3.18
"Desflurane is a satisfactory alternative to isoflurane for day care anaesthesia."( Anaesthesia for day-care arthroscopy. A comparison between desflurane and isoflurane.
Ekberg, K; Gupta, A; Kullander, M; Lennmarken, C, 1996
)
1.26
"Desflurane is a new volatile anaesthetic with an extremely low blood/gas partition coefficient of 0.42. "( [Awakening from anesthesia and recovery of cognitive function after desflurane or isoflurane].
Allhoff, T; Conzen, P; Loscar, M; Ott, E; Peter, K, 1996
)
1.97
"Desflurane is a new volatile anaesthetic and its effect on MLAEP have not been studied previously."( Midlatency auditory evoked potentials during anaesthesia with increasing endexpiratory concentrations of desflurane.
Conzen, P; Finsterer, U; Klasing, S; Peter, K; Pöppel, E; Schwender, D, 1996
)
1.23
"Desflurane is a new fluoride-only halogenated inhalational anesthetic. "( [Desflurane: a new inhalation anesthetic].
Canet, J; Roigé, J,
)
2.48
"Desflurane is a new halogenated ether inhalational general anesthetic with low solubility in blood and body tissues. "( The safety and efficacy of desflurane.
al-Khayat, HC; Naguib, K; Osman, H; Shams, A, 1997
)
2.04
"Desflurane is a new inhalation anaesthetic with a low blood/gas solubility which should allow a fast emergence from anaesthesia. "( Anaesthesia during laparoscopic gynaecological surgery: a comparison between desflurane and isoflurane.
Jakobsson, J; Rane, K; Ryberg, G, 1997
)
1.97
"Desflurane is a potentially useful anesthetic for ambulatory surgery, but it has had limited evaluation in spontaneously breathing patients. "( Comparison of desflurane with isoflurane or propofol in spontaneously breathing ambulatory patients.
Ashworth, J; Smith, I, 1998
)
2.1
"Desflurane is a weaker trigger of malignant hyperthermia than is halothane. "( Desflurane induces only minor Ca2+ release from the sarcoplasmic reticulum of mammalian skeletal muscle.
Fink, RH; Graf, BM; Kunst, G; Martin, E; Stucke, AG, 2000
)
3.19
"Desflurane is a new volatile anaesthetic, very little soluble. "( Anaesthesia with desflurane-nitrous oxide in elderly patients. Comparison with isoflurane-nitrous oxide.
Fiori, R; Russo, R; Salvo, I; Solca, M; Veschi, G, 2000
)
2.09
"Desflurane is a new volatile anaesthetic, very little soluble. "( Anaesthesia with desflurane-nitrous oxide in elderly patients. Comparison with isoflurane-nitrous oxide.
Fiori, R; Russo, R; Salvo, I; Solca, M; Veschi, G, 2000
)
2.09
"Desflurane is a fluorinated methyl ether, structurally very similar to isoflurane."( [Desflurane (I 653) and sevoflurane: halogenated anesthetics of the future?].
Debaene, B; Lienhart, A, 1992
)
1.92
"Desflurane is an ether halogenated exclusively with fluorine. "( Induction and recovery characteristics of desflurane in day case patients: a comparison with propofol.
Black, AE; Fairfield, JE; Jones, RM; Wrigley, SR, 1991
)
1.99
"Desflurane appears to be a mild airway irritant but was well tolerated by all patients."( Clinical characteristics of desflurane in surgical patients: minimum alveolar concentration.
Damask, MC; Eger, EI; Lockhart, SH; Peterson, N; Rampil, IJ; Weiskopf, RB; Yasuda, N; Zwass, MS, 1991
)
1.3
"Desflurane is a potent inhaled anesthetic associated with a dose-dependent depression of cortical electrical activity. "( No EEG evidence of acute tolerance to desflurane in swine.
Dwyer, RC; Eger, EI; Laster, M; Rampil, IJ; Taheri, S, 1991
)
2

Effects

Desflurane has a carbon equivalence 20 times greater than sevoflurane. It is not biotransformed nor does it interact with carbon dioxide absorbents.

Desflurane has a direct negative chronotropic action on sinoatrial node pacemaking activity, which is mediated by its inhibitory action on multiple ionic currents. It has shown less potent action on cell migration and inhibition. Desflurain has been used in paediatric patients for several surgical indications.

ExcerptReferenceRelevance
"Desflurane has a carbon equivalence 20 times greater than sevoflurane. "( Is it time to stop using desflurane?
Armstrong, F; Sebastian, J, 2020
)
2.3
"Desflurane has a direct negative chronotropic action on sinoatrial node pacemaking activity, which is mediated by its inhibitory action on multiple ionic currents. "( Direct negative chronotropic action of desflurane on sinoatrial node pacemaker activity in the guinea pig heart.
Ito, Y; Kitagawa, H; Kojima, A; Matsuura, H; Nosaka, S, 2014
)
2.11
"Desflurane has a low fat-blood solubility coefficient and may be better suited in this population to achieve a rapid emergence; however, sevoflurane has favorable cardiorespiratory properties that might also prove advantageous in the morbidly obese (MO) patient."( Choice of volatile anesthetic for the morbidly obese patient: sevoflurane or desflurane.
Arain, SR; Barth, CD; Ebert, TJ; Shankar, H, 2005
)
1.28
"Desflurane has a lower blood/air partition coefficient than isoflurane and, as such, promotes a faster induction and recovery from anesthesia."( Application of the mixed venous blood concentration equation in desflurane anesthesia.
Ho, WM; Hung, WT; Hwang, KL; Wong, KC; Wu, CC; Yang, NC, 2006
)
1.29
"Desflurane has a major advantage over sevoflurane: it is not biotransformed nor does it interact with carbon dioxide absorbents."( [Critical evaluation of the new inhalational anesthetics desflurane and sevoflurane].
Scholz, J; Tonner, PH, 1997
)
1.26
"Desflurane has shown less potent action on cell migration and inhibition."( Molecular Mechanism of Gas Anesthetics on the Invasion, Metastasis, and Chemosensitivity of Osteosarcoma Cells.
Li, W; Qin, C; Yan, J; Yang, Y; You, L; Zhao, Q, 2021
)
1.34
"Desflurane has adverse environmental effects, but has clinical advantages to speed emergence and return of protective airway reflexes compared with sevoflurane. "( Titration of sevoflurane anesthesia to optimize the time to regain airway reflexes in patients undergoing elective surgery: A randomized clinical trial comparing desflurane and sevoflurane anesthesia.
Arain, SR; Dugan, S; Ebert, TJ; Pagel, PS; Yu, S, 2020
)
2.2
"Desflurane has a carbon equivalence 20 times greater than sevoflurane. "( Is it time to stop using desflurane?
Armstrong, F; Sebastian, J, 2020
)
2.3
"Desflurane has a direct negative chronotropic action on sinoatrial node pacemaking activity, which is mediated by its inhibitory action on multiple ionic currents. "( Direct negative chronotropic action of desflurane on sinoatrial node pacemaker activity in the guinea pig heart.
Ito, Y; Kitagawa, H; Kojima, A; Matsuura, H; Nosaka, S, 2014
)
2.11
"Desflurane has clear advantages for minimal fresh gas flow anesthesia."( Desflurane and sevoflurane use during low- and minimal-flow anesthesia at fixed vaporizer settings.
Horwitz, M; Jakobsson, JG, 2016
)
2.6
"Desflurane has the lowest solubility of currently available volatile anesthetics and may allow for more rapid emergence and recovery compared with sevoflurane. "( Effects of changing from sevoflurane to desflurane on the recovery profile after sevoflurane induction: a randomized controlled study.
Harada, S; Iwasaki, H; Mikuni, I; Yakushiji, R, 2016
)
2.14
"Desflurane has been used in paediatric patients for several surgical indications. "( Clinical experience with desflurane for paediatric anaesthesia outside the operating room.
Alonso, M; Builes, L; Fernández, E; Morán, P; Ortega, A; Reinoso-Barbero, F, 2017
)
2.2
"Desflurane has desirable properties for in vivo neurophysiologic studies, but its effect on cortical neuronal activity and neuronal responsiveness is not known."( Desflurane selectively suppresses long-latency cortical neuronal response to flash in the rat.
Hudetz, AG; Imas, OA; Vizuete, JA, 2009
)
2.52
"Desflurane has demonstrated the indistinguishable blood glucose level and hemodynamic response from isoflurane anesthesia intraoperatively in neurosurgical patients, confirming a comparable pattern of blood glucose concentration intensifying over time spends."( Blood glucose level in neurosurgery. Is it different between isoflurane and desflurane anesthesia?
Akavipat, P; Pannak, S; Polsayom, N; Punkla, W, 2009
)
2.03
"Desflurane has become a valuable anesthetic in neurosurgery because of its pharmacokinetic advantages."( Effects of desflurane on spinal somatosensory-evoked potentials and conductive spinal cord evoked potential.
Chen, TY; Chern, TC; Jou, IM; Tsai, YC, 2003
)
1.43
"Desflurane has been shown to increase sympathetic activity and heart rate (HR) in a concentration-dependent manner. "( Desflurane increases heart rate independent of sympathetic activity in dogs.
Picker, O; Scheeren, TW; Schindler, AW; Schwarte, LA, 2003
)
3.2
"Desflurane has been identified as a weak triggering anesthetic of malignant hyperthermia that, in the absence of succinylcholine, may produce a delayed onset of symptoms. "( A suspected case of delayed onset malignant hyperthermia with desflurane anesthesia.
Almasri, M; Padgett, JC; Papadimos, TJ; Rush, JE, 2004
)
2.01
"Desflurane has a low fat-blood solubility coefficient and may be better suited in this population to achieve a rapid emergence; however, sevoflurane has favorable cardiorespiratory properties that might also prove advantageous in the morbidly obese (MO) patient."( Choice of volatile anesthetic for the morbidly obese patient: sevoflurane or desflurane.
Arain, SR; Barth, CD; Ebert, TJ; Shankar, H, 2005
)
1.28
"Desflurane has a lower blood/air partition coefficient than isoflurane and, as such, promotes a faster induction and recovery from anesthesia."( Application of the mixed venous blood concentration equation in desflurane anesthesia.
Ho, WM; Hung, WT; Hwang, KL; Wong, KC; Wu, CC; Yang, NC, 2006
)
1.29
"Desflurane has improved the deformability of erythrocytes in both gender significantly (p<0.05)."( Gender-related alerations in erythrocyte mechanical activities under desflurane or sevoflurane anesthesia.
Aydoğan, S; Comu, FM; Yerer, MB, 2008
)
1.3
"Desflurane has been associated with neurocirculatory excitation after the rapid increase in inspired concentrations."( Neurocirculatory responses to sevoflurane in humans. A comparison to desflurane.
Ebert, TJ; Lopatka, CW; Muzi, M, 1995
)
1.25
"Desflurane anesthesia has been associated with heart rate (HR) and sympathetic nerve activity (SNA) responses that differ from those during isoflurane anesthesia. "( A comparison of baroreflex sensitivity during isoflurane and desflurane anesthesia in humans.
Ebert, TJ; Muzi, M, 1995
)
1.98
"Desflurane has been reported to produce more tachycardia and hypertension on induction than isoflurane. "( Sympathetic hyperactivity during desflurane anesthesia in healthy volunteers. A comparison with isoflurane.
Ebert, TJ; Muzi, M, 1993
)
2.01
"Desflurane has been implicated in carbon monoxide (CO) intoxication during general anesthesia under certain circumstances. "( Carboxyhemoglobin concentrations during desflurane and isoflurane closed-circuit anesthesia.
De Vel, M; De Wolf, AM; Hendrickx, JF; Soetens, M; Van der Aa, P, 1996
)
2
"Desflurane has a major advantage over sevoflurane: it is not biotransformed nor does it interact with carbon dioxide absorbents."( [Critical evaluation of the new inhalational anesthetics desflurane and sevoflurane].
Scholz, J; Tonner, PH, 1997
)
1.26
"Desflurane has been reported to cause tachycardia and hypertension during induction of anaesthesia. "( Administration of sufentanil and nitrous oxide blunts cardiovascular effects of desflurane but does not prevent an increase in middle cerebral artery blood flow velocity.
Krause, T; Paris, A; Scholz, J; Schulte an Esch, J; Tonner, PH; von Knobelsdorff, G, 1997
)
1.97
"Desflurane has no significant inotropic effect (AF at 2.5 MAC: 95 +/- 11% of control values; NS) in contrast with halothane and isoflurane (AF at 2.5 MAC: 37 +/- 14 vs. "( Effects of desflurane in rat myocardium: comparison with isoflurane and halothane.
Coriat, P; Gueugniaud, PY; Hanouz, JL; Lecarpentier, Y; Riou, B; Vivien, B, 1997
)
2.13
"Desflurane has been shown to produce dose-dependent increases in SEP latency (data in part for latency N2O: 0.5 minimum alveolar concentration [MAC] = 20.8 +/- 0.9; 1.5 MAC = 22.2 +/- 1.5; 1.5 MAC/N2O= 23.8 +/- 1.5) and decreases in amplitude, whereas cervically recorded subcortical SEP components are minimally influenced by desflurane."( Modulation of somatosensory evoked potentials under various concentrations of desflurane with and without nitrous oxide.
Hempelmann, G; Müller, M; Osmer, C; Schindler, E; Wozniak, G; Zickmann, B, 1998
)
1.25
"Desflurane has several properties making it a desirable agent for use in electrophysiological studies (EPS) for diagnosis and treatment of cardiac dysrhythmias. "( An assessment of desflurane for use during cardiac electrophysiological study and radiofrequency ablation of supraventricular dysrhythmias in children.
Morrison, JE; Schaffer, MS; Snyder, AM, 2000
)
2.09

Actions

Desflurane also can cause transient increases in pulse rate and blood pressures when its concentration is rapidly increased above 6%. The increase of intracranial pressure (ICP) does not appear to be completely explained by desflurain-induced changes in cerebral blood flow, cerebrospinal fluid (CSF) formation and reabsorption, or brain tissue water content.

ExcerptReferenceRelevance
"Desflurane had lower uptake than propofol (65 ± 21 × 10 vs 165 ± 51 × 10 g·mL·min/μmol; P = .039), but there was no statistically significant difference between desflurane and desflurane-then-propofol (65 ± 21 × 10 vs 59 ± 11 × 10 g·mL·min/μmol; P = .999)."( Propofol Attenuates the Myocardial Protection Properties of Desflurane by Modulating Mitochondrial Permeability Transition.
Andrews, DT; Heiberg, J; Royse, AG; Royse, CF, 2018
)
1.44
"Desflurane may cause very high irritability in the airway and may be used for the maintenance of anesthesia in limited situations."( [Update on the practical use of new anesthetic agents].
Doi, Y; Kagawa, T, 2013
)
1.11
"Desflurane failed to inhibit inflammatory responses and ROS production in lung tissue and developed no antioxidant potential."( Inhaled Anesthetics Exert Different Protective Properties in a Mouse Model of Ventilator-Induced Lung Injury.
Buerkle, H; Engelstaedter, H; Faller, S; Gyllenram, V; Hoetzel, A; Spassov, S; Strosing, KM, 2016
)
1.16
"Desflurane may cause more systemic and regional lipid peroxidation than sevoflurane during laparoscopic cholecystectomy in healthy human beings."( The effects of sevoflurane and desflurane on lipid peroxidation during laparoscopic cholecystectomy.
Aydin, S; Koksal, GM; Oz, H; Sayilgan, C; Uzun, H, 2004
)
2.05
"Desflurane is known to produce high concentrations of carbon monoxide (CO) in desiccated sodalime or Baralyme (Allied Healthcare Products, St. "( Carbon monoxide production from desflurane and six types of carbon dioxide absorbents in a patient model.
de Lange, JJ; Keijzer, C; Perez, RS, 2005
)
2.05
"Desflurane appears to cause a greater systemic and intrapulmonary pro-inflammatory response than sevoflurane during anaesthesia for ear surgery."( Effects of sevoflurane and desflurane on cytokine response during tympanoplasty surgery.
Aydin, S; Gungor, G; Koksal, GM; Oz, H; Sayilgan, C; Sen, O; Uzun, H, 2005
)
2.07
"Desflurane has a lower blood/air partition coefficient than isoflurane and, as such, promotes a faster induction and recovery from anesthesia."( Application of the mixed venous blood concentration equation in desflurane anesthesia.
Ho, WM; Hung, WT; Hwang, KL; Wong, KC; Wu, CC; Yang, NC, 2006
)
1.29
"Desflurane may increase the middle ear pressure and it may be unsuitable for certain middle ear surgeries."( Effects of desflurane on middle ear pressure.
Demiraran, Y; Guclu, E; Ilce, Z; Iskender, A; Ozturk, O; Yildizbas, S, 2007
)
2.17
"Desflurane degraded to produce CO in the breathing tube, when the CO2 absorbents were not dried beforehand. "( An evaluation of the contributions by fresh gas flow rate, carbon dioxide concentration and desflurane partial pressure to carbon monoxide concentration during low fresh gas flows to a circle anaesthetic breathing system.
Chang, WS; Fan, SZ; Lin, YW; Tang, CS, 2008
)
2.01
"Desflurane also can cause transient increases in pulse rate and blood pressures when its concentration is rapidly increased above 6%."( New drugs in anesthesia.
Eger, EI, 1995
)
1.01
"Desflurane-induced increase of intracranial pressure (ICP) does not appear to be completely explained by desflurane-induced changes in cerebral blood flow, cerebrospinal fluid (CSF) formation and reabsorption, or brain tissue water content. "( Intracranial volume/pressure relationship during desflurane anesthesia in dogs: comparison with isoflurane and thiopental/halothane.
Artru, AA, 1994
)
1.99
"Desflurane tends to increase HR and occasionally causes a hyperdynamic response during rapid deepening of anesthesia."( A comparison of desflurane and isoflurane in prolonged surgery.
Azad, SS; Bartkowski, RR; Lessin, JB; Marr, AT; Seltzer, JL; Witkowski, TA,
)
1.2
"Desflurane did not produce renal injury."( Nephrotoxicity of sevoflurane versus desflurane anesthesia in volunteers.
Bowland, T; Eger, EI; Fang, Z; Gong, D; Ionescu, P; Koblin, DD; Laster, MJ; Sonner, J; Weiskopf, RB, 1997
)
1.29
"Desflurane is not used because of its pungent odour."( New halogenated agents: should I change my practice?
Feiss, P, 2000
)
1.03

Treatment

Desflurane post-treatment also improved motor function, learning and memory in rats with brain HI. Mice treated with des flurane 1 day before testing showed more slips than other two groups.

ExcerptReferenceRelevance
"Desflurane post-treatment also improved motor function, learning and memory in rats with brain HI."( Desflurane Post-treatment Reduces Hypoxic-ischemic Brain Injury via Reducing Transient Receptor Potential Ankyrin 1 in Neonatal Rats.
Cheng, A; Li, J; Zhou, T; Zuo, Z, 2023
)
3.07
"Desflurane pretreatment did not induce a delayed phase of neuroprotection."( Isoflurane preconditioning improves short-term and long-term neurological outcome after focal brain ischemia in adult rats.
Li, L; Zuo, Z, 2009
)
1.07
"Mice treated with desflurane 1 day before testing showed more slips than other two groups in the first trial, suggesting mild acute side effects of desflurane on motor coordination."( Exploratory analyses of postanesthetic effects of desflurane using behavioral test battery of mice.
Goto, T; Miyazaki, T; Niikura, R; Takase, K; Uchimoto, K; Yonezaki, K, 2020
)
1.13
"Treatment with desflurane or sevoflurane was continued during the period of oxygen and glucose deprivation."( Desflurane and sevoflurane attenuate oxygen and glucose deprivation-induced neuronal cell death.
Raizada, MK; Sumners, C; Wise-Faberowski, L, 2003
)
2.1
"Treatment with desflurane significantly increases tissue PO2 alone and attenuates acidotic changes to prolonged middle cerebral artery occlusion."( Comparison of the effect of etomidate and desflurane on brain tissue gases and pH during prolonged middle cerebral artery occlusion.
Ausman, JI; Charbel, FT; Edelman, G; Hoffman, WE; Misra, M, 1998
)
0.9

Toxicity

ExcerptReferenceRelevance
"The physical stability and low blood solubility of the new inhaled anesthetic, I-653, imply that this agent produces limited or no toxic effects."( Studies of the toxicity of I-653, halothane, and isoflurane in enzyme-induced, hypoxic rats.
Eger, EI; Ferrell, LD; Johnson, BH; Strum, DP, 1987
)
0.27
"The low solubility and high stability of the new volatile anesthetic, I-653, suggest that this agent should have little or no toxic effect."( Comparison of the toxicity of I-653 and isoflurane in rats: a test of the effect of repeated anesthesia and use of dry soda lime.
Eger, EI; Ferrell, LD; Johnson, BH, 1987
)
0.27
"5 million adverse drug reaction (ADR) reports for 8620 drugs/biologics that are listed for 1191 Coding Symbols for Thesaurus of Adverse Reaction (COSTAR) terms of adverse effects."( Assessment of the health effects of chemicals in humans: II. Construction of an adverse effects database for QSAR modeling.
Benz, RD; Contrera, JF; Kruhlak, NL; Matthews, EJ; Weaver, JL, 2004
)
0.32
" The present systematic review investigates the clinical effects and adverse events associated with desflurane use during supratentorial craniotomy for brain tumor resection in adults in comparison with other inhalational and intravenous anesthetic agents."( Clinical Effects and Adverse Events Associated With Desflurane Use in Adult Patients Undergoing Supratentorial Craniotomy: A Systematic Review.
Gkantinas, G; Kouki, P; Lelekaki, E; Lykoudis, PM; Tataki, EΙ, 2024
)
1.91

Pharmacokinetics

Desflurane produces dose-dependent depression of the central nervous and cardiorespiratory systems, and tetanic fade at the neuromuscular junction. BIS and Narcotrend are not useful to differentiate pharmacodynamic changes in the EEG between 4 and 9 vol% desflurne.

ExcerptReferenceRelevance
" The pharmacodynamic properties of desflurane generally resemble those of isoflurane; thus, it produces dose-dependent depression of the central nervous and cardiorespiratory systems, and tetanic fade at the neuromuscular junction."( Desflurane. A review of its pharmacodynamic and pharmacokinetic properties and its efficacy in general anaesthesia.
Goa, KL; Patel, SS, 1995
)
2.01
" Population pharmacodynamic modeling was performed using the software package NONMEM."( Comparative pharmacodynamic modeling of the electroencephalography-slowing effect of isoflurane, sevoflurane, and desflurane.
Bouillon, T; Hoeft, A; Rehberg, B; Zinserling, J, 1999
)
0.51
" As for the terminal half-life (t1/2), there were no differences among the groups (8."( Recovery and pharmacokinetic parameters of desflurane, sevoflurane, and isoflurane in patients undergoing urologic procedures.
Behne, M; Lischke, V; Wilke, HJ, 1999
)
0.57
" In contrast, we developed a method to estimate pharmacokinetic parameters under clinical conditions."( Pharmacokinetics of inhaled anaesthetics in a clinical setting: description of a novel method based on routine monitoring data.
Fuhr, U; Kuhn, I; Rietbrock, S; Wissing, H, 2000
)
0.31
"The pharmacokinetic characteristics of desflurane, isoflurane and sevoflurane (16 patients for each anaesthetic) were estimated from measurements of inspired and end-expired agent concentrations and ventilation, obtained during routine anaesthesia in patients undergoing maxillofacial surgery (mean age 38 yr, duration of anaesthesia approximately 2 h)."( Pharmacokinetics of inhaled anaesthetics in a clinical setting: comparison of desflurane, isoflurane and sevoflurane.
Fuhr, U; Kuhn, I; Rietbrock, S; Wissing, H, 2000
)
0.8
"To test the hypothesis that differences in anesthetic uptake and elimination in iguanas would counter the pharmacokinetic effects of blood:gas solubility and thus serve to minimize kinetic differences among inhaled agents."( Pharmacokinetics of inhaled anesthetics in green iguanas (Iguana iguana).
Barter, LS; Brosnan, RJ; Hawkins, MG; Pypendop, BH, 2006
)
0.33
" To evaluate the relationship between concentrations and EEG indices, two different pharmacodynamic models were applied: A conventional model based on a single sigmoidal curve, and a novel model based on two sigmoidal curves for BIS and NCT values with and without burst suppression."( Failure of two commercial indexes and spectral parameters to reflect the pharmacodynamic effect of desflurane on EEG.
Bruhn, J; Ellerkmann, R; Kreuer, S; Kubulus, D; Wilhelm, W; Ziegeler, S, 2008
)
0.56
"BIS and Narcotrend are not useful to differentiate pharmacodynamic changes in the EEG between 4 and 9 vol% desflurane."( Failure of two commercial indexes and spectral parameters to reflect the pharmacodynamic effect of desflurane on EEG.
Bruhn, J; Ellerkmann, R; Kreuer, S; Kubulus, D; Wilhelm, W; Ziegeler, S, 2008
)
0.78
"0) were used as measures of the pharmacodynamic effect."( Comparative pharmacodynamic modeling of desflurane, sevoflurane and isoflurane.
Bruhn, J; Grundmann, U; Kreuer, S; Rensing, H; Wilhelm, W; Ziegeler, S, 2009
)
0.62
" The primary aim of this study was to investigate the accuracy of a cardiac output and alveolar ventilation matched Gas Man model and to compare its predictive performance with the standard pharmacokinetic model using patient data."( Prediction of expiratory desflurane and sevoflurane concentrations in lung-healthy patients utilizing cardiac output and alveolar ventilation matched pharmacokinetic models: A comparative observational study.
Mißbach, C; Philip, JH; Schmidt, J; Schumann, S; Weber, J; Wenzel, C; Wirth, S, 2021
)
0.92

Compound-Compound Interactions

Desflurane anesthesia combined with BIS monitoring and warming is associated with early postoperative recovery in horses.

ExcerptReferenceRelevance
"Remifentanil anesthesia, combined with small-dose propofol, desflurane, or sevoflurane, enables predictably fast and smooth early recovery after ear, nose, and throat surgery."( Recovery after anesthesia with remifentanil combined with propofol, desflurane, or sevoflurane for otorhinolaryngeal surgery.
Loop, T; Priebe, HJ, 2000
)
0.78
"The purpose of this cardiac fast-track study was to evaluate the use of remifentanil (R) combined with intrathecal (IT) morphine as an alternative to sufentanil (S) during desflurane anesthesia with respect to postoperative pain control."( Fast-track cardiac anesthesia: use of remifentanil combined with intrathecal morphine as an alternative to sufentanil during desflurane anesthesia.
Bossard, R; Chi, L; Douning, LK; Latham, P; Morse, L; Shi, C; White, PF; Zarate, E, 2000
)
0.71
"As part of a cardiac fast-tracking program involving desflurane anesthesia, the use of intrathecal morphine in combination with a remifentanil infusion provided improved postoperative pain control, compared with IV sufentanil alone."( Fast-track cardiac anesthesia: use of remifentanil combined with intrathecal morphine as an alternative to sufentanil during desflurane anesthesia.
Bossard, R; Chi, L; Douning, LK; Latham, P; Morse, L; Shi, C; White, PF; Zarate, E, 2000
)
0.76
"This randomized prospective study with blinded postanesthesia care unit (PACU) observers compared the recovery profiles in morbidly obese patients who received sevoflurane or desflurane for maintenance of anesthesia in combination with a remifentanil target controlled infusion (TCI)."( Postoperative results after desflurane or sevoflurane combined with remifentanil in morbidly obese patients.
De Baerdemaeker, LE; Den Blauwen, NM; Herregods, LL; Jacobs, S; Mortier, EP; Pattyn, P; Struys, MM, 2006
)
0.82
"50 morbidly obese patients scheduled for laparoscopic gastric banding were included to receive BIS-guided sevoflurane or desflurane anesthesia with BIS-triggered inhalation boli in combination with remifentanil TCI."( Postoperative results after desflurane or sevoflurane combined with remifentanil in morbidly obese patients.
De Baerdemaeker, LE; Den Blauwen, NM; Herregods, LL; Jacobs, S; Mortier, EP; Pattyn, P; Struys, MM, 2006
)
0.84
"To compare the effect of remifentanil combined with desflurane or isoflurane on the quality of the operative field and surgical conditions, blood loss, and recovery during tympanoplasty or endoscopic sinus surgery."( Hypotensive anaesthesia with remifentanil combined with desflurane or isoflurane in tympanoplasty or endoscopic sinus surgery: a randomised, controlled trial.
Gursoy, S; Kaygusuz, K; Kol, IO; Mimaroglu, C; Yildirim, A, 2008
)
0.84
" The purpose of this study was to evaluate the use of either desflurane or propofol, both combined with remifentanil, in patients with MG undergoing a video-assisted thoracoscopic-extended thymectomy (VATET)."( The use of desflurane or propofol in combination with remifentanil in myasthenic patients undergoing a video-assisted thoracoscopic-extended thymectomy.
Benigni, A; Bortolotti, G; Carrara, B; Giardini, D; Gritti, P; Khotcholava, M; Lanterna, LA; Sonzogni, V, 2009
)
0.98
" The time-to-awakening, post-operatory pH and base excess were significantly different in the two groups, with a decreasing mean arterial pressure in the group administered with desflurane."( The use of desflurane or propofol in combination with remifentanil in myasthenic patients undergoing a video-assisted thoracoscopic-extended thymectomy.
Benigni, A; Bortolotti, G; Carrara, B; Giardini, D; Gritti, P; Khotcholava, M; Lanterna, LA; Sonzogni, V, 2009
)
0.94
"Because of lower desflurane consumption, a superior recovery profile, and a high degree of patient acceptance, general anaesthesia in combination with interscalene block may be preferred in arthroscopic shoulder surgery."( Bispectral index-guided general anaesthesia in combination with interscalene block reduces desflurane consumption in arthroscopic shoulder surgery: a clinical comparison of bupivacaine versus levobupivacaine.
Albayrak, T; Kanbak, O; Kesimci, E; Ozturk, L, 2015
)
0.98
"OBJECTIVE To determine global and peripheral perfusion and oxygenation during anesthesia with equipotent doses of desflurane and propofol combined with a constant rate infusion of dexmedetomidine in horses."( Comparison of desflurane and propofol at equipotent doses in combination with a constant rate infusion of dexmedetomidine on global and peripheral perfusion and oxygenation in horses.
Hopster, K; Kästner, SBR; Neudeck, S; Rohn, K; Wittenberg-Voges, L, 2018
)
1.05
"This study aimed to determine whether the use of desflurane (DES) anesthesia combined with bispectral index (BIS) monitoring and warming is effective in reducing anesthesia-controlled operating room time (ACT) in patients undergoing lengthy abdominal surgery."( Early postoperative recovery in operating room after desflurane anesthesia combined with Bispectral index (BIS) monitoring and warming in lengthy abdominal surgery: a randomized controlled study.
Ma, Y; Yu, H; Zhang, L, 2018
)
0.98
"Desflurane anesthesia combined with BIS monitoring and warming is associated with early postoperative recovery in lengthy abdominal surgery."( Early postoperative recovery in operating room after desflurane anesthesia combined with Bispectral index (BIS) monitoring and warming in lengthy abdominal surgery: a randomized controlled study.
Ma, Y; Yu, H; Zhang, L, 2018
)
2.17

Dosage Studied

We investigated the dose-response relation of the Shannon entropy of the electroencephalographic amplitude values during desflurane monoanesthesia in comparison with previously used parameters. We also compared the effects of pancuronium and succinylcholine in surgical patients during anesthesia with des flurane to those during isoflurane anesthesia.

ExcerptRelevanceReference
" The neuromuscular effects of desflurane or isoflurane alone, and the dose-response relationship, time course, and reversibility of the neuromuscular effects of atracurium with either anesthetic, were examined in detail and compared using electromyographic quantification of the response of the first dorsal interosseous muscle to train-of-four (TOF) stimulation of the ulnar nerve."( Desflurane potentiates atracurium in humans: a comparative study with isoflurane.
Chen, BJ; Cheng, ML; Kwan, WF; Lee, C; Tsai, SK,
)
1.86
" Also, the dose-response relationships of pancuronium and succinylcholine in surgical patients during anesthesia with desflurane (n = 13) were compared to those during isoflurane anesthesia (n = 14)."( The neuromuscular effects of desflurane, alone and combined with pancuronium or succinylcholine in humans.
Caldwell, JE; Eger, EI; Heier, T; Laster, MJ; Lynam, DP; Magorian, T; Weiskopf, RB; Yasuda, N, 1991
)
0.78
" In eight subjects, vecuronium bolus dose potency was determined using a two-dose dose-response technique; the vecuronium infusion dose requirement to achieve 85% twitch depression also was determined."( The magnitude and time course of vecuronium potentiation by desflurane versus isoflurane.
Brown, R; Fisher, DM; Gruenke, L; Hart, P; Lau, M; Sharma, ML; Wright, PM, 1995
)
0.53
"5 MAC, suggesting that the dose-response relationship for vasoconstriction is nonlinear."( Desflurane slightly increases the sweating threshold but produces marked, nonlinear decreases in the vasoconstriction and shivering thresholds.
Annadata, R; Dechert, M; Kurz, A; Sessler, DI; Tayefeh, F, 1995
)
1.73
" The aim of this clinical investigation was the development of a standardised dosing scheme for low-flow and minimal-flow desflurane anaesthesia."( [Low-flow anesthesia with desflurane].
Baum, J; Berghoff, M; Kalff, G; Petermeyer, M; Stanke, HG, 1997
)
0.8
" Following equi-effective dosing (T1 > 95%) the duration to 25% T1 recovery, recovery index (25/75), and TOF0."( Neuromuscular blocking effects of rocuronium during desflurane, isoflurane, and sevoflurane anaesthesia.
Ledowski, T; Linstedt, U; Proppe, D; Sitzlack, D; Wulf, H, 1998
)
0.55
" The authors investigated the dose-response relation of the EEG approximate entropy during desflurane anesthesia in comparison with spectral edge frequency 95, median frequency, and bispectral index."( Approximate entropy as an electroencephalographic measure of anesthetic drug effect during desflurane anesthesia.
Bruhn, J; Hoeft, A; Röpcke, H, 2000
)
0.75
" In the REM groups, the dosage of PRO (75 microg."( Recovery after anesthesia with remifentanil combined with propofol, desflurane, or sevoflurane for otorhinolaryngeal surgery.
Loop, T; Priebe, HJ, 2000
)
0.54
" Induction of anaesthesia, fentanyl dosing and volume loading were standardized."( Haemodynamic stability during moderate hypotensive anaesthesia for spinal surgery. A comparison between desflurane and isoflurane.
Beaussier, M; Chandon, M; Deriaz, H; Lienhart, A; Mestari, M; Paugam, C; Sautet, A, 2000
)
0.52
"Human exposure guidelines for halogenated hydrocarbons (halons) and halon replacement chemicals have been established using dose-response data obtained from canine cardiac sensitization studies."( PBPK modeling of canine inhalation exposures to halogenated hydrocarbons.
Vinegar, A, 2001
)
0.31
" We investigated the dose-response relation of the Shannon entropy of the electroencephalographic amplitude values during desflurane monoanesthesia in comparison with previously used electroencephalographic parameters."( Shannon entropy applied to the measurement of the electroencephalographic effects of desflurane.
Bouillon, TW; Bruhn, J; Hoeft, A; Lehmann, LE; Röpcke, H, 2001
)
0.74
" The dose-response of BIS values and desflurane concentrations was not uniform: two patients showed increasing BIS values with increasing desflurane concentrations, while in three patients BIS values remained unchanged."( Comparison of BIS and AAI as measures of anaesthetic drug effect during desflurane-remifentanil anaesthesia.
Bauer, C; Bruhn, J; Kreuer, S; Larsen, R; Wilhelm, W, 2004
)
0.83
" Comparison of dose-dependent vasodilatory properties between desflurane and isoflurane, the more traditional volatile agent for clinical neuroanesthesia, requires equianesthetic dosing of the agents."( Desflurane induces more cerebral vasodilation than isoflurane at the same A-line autoregressive index level.
Akeson, J; Holmström, A, 2005
)
2.01
" The dosage of propofol, desflurane, and sevoflurane, obtained with a value of bispectral index (BIS) 40, was kept unchanged throughout the course, and remifentanil was titrated to maintain controlled hypotension: systolic arterial blood pressure 70 to 90 mmHg and mean arterial blood pressure 50 to 65 mmHg."( Hypotensive anesthesia and recovery of cognitive function in long-term craniofacial surgery.
Caverni, V; Favaro, R; Pinto, G; Rosa, G; Tordiglione, P, 2005
)
0.63
"Clinical pharmacists rarely are involved in the selection and dosing of anesthetic agents."( Inhalation anesthesiology and volatile liquid anesthetics: focus on isoflurane, desflurane, and sevoflurane.
Connolly, LA; Klauck, JA; Sakai, EM, 2005
)
0.56
" We investigated the prediction of recovery and dose-response relationship of desflurane and AAI or bispectral index (BIS) values."( A-line, bispectral index, and estimated effect-site concentrations: a prediction of clinical end-points of anesthesia.
Bruhn, J; Buchinger, H; Kreuer, S; Larsen, R; Wilhelm, W, 2006
)
0.56
"Anesthetized, open-chest New Zealand White rabbits were used to acquire dose-response curves with sevoflurane, desflurane, and propofol, followed by reduction to baseline infusion."( Persistent depression of contractility and vasodilation with propofol but not with sevoflurane or desflurane in rabbits.
Angus, JA; Liew, DF; Royse, AG; Royse, CF; Wright, CE, 2008
)
0.77
"We compared dose-response curves of the hypnotic effects of desflurane, sevoflurane and isoflurane."( Comparative pharmacodynamic modeling of desflurane, sevoflurane and isoflurane.
Bruhn, J; Grundmann, U; Kreuer, S; Rensing, H; Wilhelm, W; Ziegeler, S, 2009
)
0.86
"To describe the culture and content of anesthesia practice; the stages, types, and goals of anesthesia; nomenclature and factors that can affect dosing of inhaled anesthesia; basis for anesthesiologist choices among inhaled anesthesia agents; and special considerations in using inhaled anesthesia in bariatric surgery patients, pediatric patients, and cardiac surgery patients; and to provide insights into myths associated with inhaled anesthesia."( An anesthesiologist's perspective on inhaled anesthesia decision-making.
Prielipp, RC, 2010
)
0.36
" The minimum alveolar concentration (MAC) of inhaled anesthetic agents, which anesthesiologists use in dosing these drugs, can be affected by age, a variety of medications, and other patient-specific factors."( An anesthesiologist's perspective on inhaled anesthesia decision-making.
Prielipp, RC, 2010
)
0.36
"020) in the TIVA group; moreover, the total dosage of norepinephrine was lower (0."( Hemodynamic and biochemical changes in liver transplantation: A retrospective comparison of desflurane and total intravenous anesthesia by target-controlled infusion under auditory evoked potential guide.
Cherng, CH; Hsieh, CB; Huang, YS; Lee, MS; Lu, CH; Wu, ZF; Yeh, CC, 2014
)
0.62
"Knowledge of the consumed amount of volatile anesthetic (VA) expressed in liquid agent is necessary to enable agent sparing dosing measures and for billing purposes."( Reliability of the volatile agent consumption display in the Draeger Primus™ anesthesia machine.
Biro, P; Kneschke, O; Theusinger, OM, 2015
)
0.42
" Duration of anesthesia, surgery time, and dosage of fentanyl were similar in the 2 groups."( Effect of transversus abdominis plane block on cost of laparoscopic cholecystectomy anesthesia.
Bakı, ED; Bal, A; Ela, Y; Kaçar, E; Kokulu, S; Şenay, H; Sıvacı, RG; Üstün, KD; Yılmaz, S, 2014
)
0.4
"Case-by-case assessment of volatile anesthetic (VA) consumption is necessary to perform agent sparing dosing measures and for billing purposes."( Accuracy of calculated volatile agent consumption from fresh gas content.
Biro, P; Kneschke, O; Theusinger, OM, 2015
)
0.42
" We hypothesized that there is an optimal desflurane-fentanyl dosing regimen that can provide a faster and more predictable wake-up time, while also ensuring adequate analgesia during wake-up testing."( A desflurane and fentanyl dosing regimen for wake-up testing during scoliosis surgery: Implications for the time-course of emergence from anesthesia.
Chen, PT; Liou, JY; Teng, WN; Ting, CK; Tsou, MY; Westenskow, DR; Yu, L, 2017
)
1.44
" The difference in opioid requirements between the REMI and MET group was related to intraoperative dosing (0."( Analgesic effects of methadone and magnesium following posterior spinal fusion for idiopathic scoliosis in adolescents: a randomized controlled trial.
Barry, N; Beebe, AC; Bhalla, T; Gill, L; Klamar, J; Martin, DP; Rice, J; Samora, WP; Thung, A; Tobias, JD; Tumin, D; Veneziano, G, 2018
)
0.48
"With the dosing regimens in the current study, the only benefit noted with methadone was a decrease in perioperative opioid requirements."( Analgesic effects of methadone and magnesium following posterior spinal fusion for idiopathic scoliosis in adolescents: a randomized controlled trial.
Barry, N; Beebe, AC; Bhalla, T; Gill, L; Klamar, J; Martin, DP; Rice, J; Samora, WP; Thung, A; Tobias, JD; Tumin, D; Veneziano, G, 2018
)
0.48
" End-tidal concentrations require adjustment to balance the risks of accidental awareness and excessive dosing in elderly people."( Intravenous versus inhalational maintenance of anaesthesia for postoperative cognitive outcomes in elderly people undergoing non-cardiac surgery.
Alderson, P; Lewis, SR; Miller, D; Pritchard, MW; Schofield-Robinson, OJ; Shelton, CL; Smith, AF, 2018
)
0.48
" The potency and dosage of these drugs is expressed by the MAC value (minimum alveolar concentration)."( The effect of desflurane, isoflurane and sevoflurane on the hemoglobin oxygen dissociation curve in human blood samples.
Gatterer, H; Haller, T; Mair, N; Oberacher, H; Plunser, D; Ronzani, M; Rugg, C; Ströhle, M; Woyke, S, 2022
)
1.08
" Muscle relaxant effects were monitored in both groups using a muscle relaxant monitor (train of stimuli-Watch), the onset time, T1 and T2 recovery time, and muscle relaxant dosage of vecuronium were observed."( Comparison of the synergistic effects of sevoflurane and desflurane on muscle relaxant vecuronium in laparoscopic colon cancer surgery.
Song, Q; Wang, Y; Zhang, Q; Zhao, X, 2022
)
0.97
" The remifentanil dosage in group DH was significantly lower than in group C (P = 0."( Effects of dexmedetomidine on evoked potentials in spinal surgery under combined intravenous inhalation anesthesia: a randomized controlled trial.
Jiang, X; Liu, L; Liu, S; Tang, X, 2023
)
0.91
[information is derived through text-mining from research data collected from National Library of Medicine (NLM), extracted Dec-2023]

Roles (1)

RoleDescription
inhalation anaestheticnull
[role information is derived from Chemical Entities of Biological Interest (ChEBI), Hastings J, Owen G, Dekker A, Ennis M, Kale N, Muthukrishnan V, Turner S, Swainston N, Mendes P, Steinbeck C. (2016). ChEBI in 2016: Improved services and an expanding collection of metabolites. Nucleic Acids Res]

Drug Classes (1)

ClassDescription
organofluorine compoundAn organofluorine compound is a compound containing at least one carbon-fluorine bond.
[compound class information is derived from Chemical Entities of Biological Interest (ChEBI), Hastings J, Owen G, Dekker A, Ennis M, Kale N, Muthukrishnan V, Turner S, Swainston N, Mendes P, Steinbeck C. (2016). ChEBI in 2016: Improved services and an expanding collection of metabolites. Nucleic Acids Res]

Bioassays (42)

Assay IDTitleYearJournalArticle
AID1079942Steatosis, proven histopathologically. Value is number of references indexed. [column 'STEAT' in source]
AID588214FDA HLAED, liver enzyme composite activity2004Current drug discovery technologies, Dec, Volume: 1, Issue:4
Assessment of the health effects of chemicals in humans: II. Construction of an adverse effects database for QSAR modeling.
AID1079943Malignant tumor, proven histopathologically. Value is number of references indexed. [column 'T.MAL' in source]
AID588211Literature-mined compound from Fourches et al multi-species drug-induced liver injury (DILI) dataset, effect in humans2010Chemical research in toxicology, Jan, Volume: 23, Issue:1
Cheminformatics analysis of assertions mined from literature that describe drug-induced liver injury in different species.
AID625289Drug Induced Liver Injury Prediction System (DILIps) training set; hepatic side effect (HepSE) score for liver disease2011PLoS computational biology, Dec, Volume: 7, Issue:12
Translating clinical findings into knowledge in drug safety evaluation--drug induced liver injury prediction system (DILIps).
AID1079932Highest frequency of moderate liver toxicity observed during clinical trials, expressed as a percentage. [column '% BIOL' in source]
AID625284Drug Induced Liver Injury Prediction System (DILIps) training set; hepatic side effect (HepSE) score for hepatic failure2011PLoS computational biology, Dec, Volume: 7, Issue:12
Translating clinical findings into knowledge in drug safety evaluation--drug induced liver injury prediction system (DILIps).
AID588219FDA HLAED, gamma-glutamyl transferase (GGT) increase2004Current drug discovery technologies, Dec, Volume: 1, Issue:4
Assessment of the health effects of chemicals in humans: II. Construction of an adverse effects database for QSAR modeling.
AID588216FDA HLAED, serum glutamic oxaloacetic transaminase (SGOT) increase2004Current drug discovery technologies, Dec, Volume: 1, Issue:4
Assessment of the health effects of chemicals in humans: II. Construction of an adverse effects database for QSAR modeling.
AID588215FDA HLAED, alkaline phosphatase increase2004Current drug discovery technologies, Dec, Volume: 1, Issue:4
Assessment of the health effects of chemicals in humans: II. Construction of an adverse effects database for QSAR modeling.
AID1079936Choleostatic liver toxicity, either proven histopathologically or where the ratio of maximal ALT or AST activity above normal to that of Alkaline Phosphatase is < 2 (see ACUTE). Value is number of references indexed. [column 'CHOLE' in source]
AID588217FDA HLAED, serum glutamic pyruvic transaminase (SGPT) increase2004Current drug discovery technologies, Dec, Volume: 1, Issue:4
Assessment of the health effects of chemicals in humans: II. Construction of an adverse effects database for QSAR modeling.
AID625291Drug Induced Liver Injury Prediction System (DILIps) training set; hepatic side effect (HepSE) score for liver function tests abnormal2011PLoS computational biology, Dec, Volume: 7, Issue:12
Translating clinical findings into knowledge in drug safety evaluation--drug induced liver injury prediction system (DILIps).
AID1079938Chronic liver disease either proven histopathologically, or through a chonic elevation of serum amino-transferase activity after 6 months. Value is number of references indexed. [column 'CHRON' in source]
AID588212Literature-mined compound from Fourches et al multi-species drug-induced liver injury (DILI) dataset, effect in rodents2010Chemical research in toxicology, Jan, Volume: 23, Issue:1
Cheminformatics analysis of assertions mined from literature that describe drug-induced liver injury in different species.
AID625292Drug Induced Liver Injury Prediction System (DILIps) training set; hepatic side effect (HepSE) combined score2011PLoS computational biology, Dec, Volume: 7, Issue:12
Translating clinical findings into knowledge in drug safety evaluation--drug induced liver injury prediction system (DILIps).
AID625288Drug Induced Liver Injury Prediction System (DILIps) training set; hepatic side effect (HepSE) score for jaundice2011PLoS computational biology, Dec, Volume: 7, Issue:12
Translating clinical findings into knowledge in drug safety evaluation--drug induced liver injury prediction system (DILIps).
AID625285Drug Induced Liver Injury Prediction System (DILIps) training set; hepatic side effect (HepSE) score for hepatic necrosis2011PLoS computational biology, Dec, Volume: 7, Issue:12
Translating clinical findings into knowledge in drug safety evaluation--drug induced liver injury prediction system (DILIps).
AID625283Drug Induced Liver Injury Prediction System (DILIps) training set; hepatic side effect (HepSE) score for elevated liver function tests2011PLoS computational biology, Dec, Volume: 7, Issue:12
Translating clinical findings into knowledge in drug safety evaluation--drug induced liver injury prediction system (DILIps).
AID588218FDA HLAED, lactate dehydrogenase (LDH) increase2004Current drug discovery technologies, Dec, Volume: 1, Issue:4
Assessment of the health effects of chemicals in humans: II. Construction of an adverse effects database for QSAR modeling.
AID1079946Presence of at least one case with successful reintroduction. [column 'REINT' in source]
AID625280Drug Induced Liver Injury Prediction System (DILIps) training set; hepatic side effect (HepSE) score for cholecystitis2011PLoS computational biology, Dec, Volume: 7, Issue:12
Translating clinical findings into knowledge in drug safety evaluation--drug induced liver injury prediction system (DILIps).
AID1079934Highest frequency of acute liver toxicity observed during clinical trials, expressed as a percentage. [column '% AIGUE' in source]
AID625290Drug Induced Liver Injury Prediction System (DILIps) training set; hepatic side effect (HepSE) score for liver fatty2011PLoS computational biology, Dec, Volume: 7, Issue:12
Translating clinical findings into knowledge in drug safety evaluation--drug induced liver injury prediction system (DILIps).
AID1079931Moderate liver toxicity, defined via clinical-chemistry results: ALT or AST serum activity 6 times the normal upper limit (N) or alkaline phosphatase serum activity of 1.7 N. Value is number of references indexed. [column 'BIOL' in source]
AID1079933Acute liver toxicity defined via clinical observations and clear clinical-chemistry results: serum ALT or AST activity > 6 N or serum alkaline phosphatases activity > 1.7 N. This category includes cytolytic, choleostatic and mixed liver toxicity. Value is
AID1079941Liver damage due to vascular disease: peliosis hepatitis, hepatic veno-occlusive disease, Budd-Chiari syndrome. Value is number of references indexed. [column 'VASC' in source]
AID1079949Proposed mechanism(s) of liver damage. [column 'MEC' in source]
AID625287Drug Induced Liver Injury Prediction System (DILIps) training set; hepatic side effect (HepSE) score for hepatomegaly2011PLoS computational biology, Dec, Volume: 7, Issue:12
Translating clinical findings into knowledge in drug safety evaluation--drug induced liver injury prediction system (DILIps).
AID1079944Benign tumor, proven histopathologically. Value is number of references indexed. [column 'T.BEN' in source]
AID625282Drug Induced Liver Injury Prediction System (DILIps) training set; hepatic side effect (HepSE) score for cirrhosis2011PLoS computational biology, Dec, Volume: 7, Issue:12
Translating clinical findings into knowledge in drug safety evaluation--drug induced liver injury prediction system (DILIps).
AID1079945Animal toxicity known. [column 'TOXIC' in source]
AID625279Drug Induced Liver Injury Prediction System (DILIps) training set; hepatic side effect (HepSE) score for bilirubinemia2011PLoS computational biology, Dec, Volume: 7, Issue:12
Translating clinical findings into knowledge in drug safety evaluation--drug induced liver injury prediction system (DILIps).
AID625286Drug Induced Liver Injury Prediction System (DILIps) training set; hepatic side effect (HepSE) score for hepatitis2011PLoS computational biology, Dec, Volume: 7, Issue:12
Translating clinical findings into knowledge in drug safety evaluation--drug induced liver injury prediction system (DILIps).
AID1079935Cytolytic liver toxicity, either proven histopathologically or where the ratio of maximal ALT or AST activity above normal to that of Alkaline Phosphatase is > 5 (see ACUTE). Value is number of references indexed. [column 'CYTOL' in source]
AID588213Literature-mined compound from Fourches et al multi-species drug-induced liver injury (DILI) dataset, effect in non-rodents2010Chemical research in toxicology, Jan, Volume: 23, Issue:1
Cheminformatics analysis of assertions mined from literature that describe drug-induced liver injury in different species.
AID1079948Times to onset, minimal and maximal, observed in the indexed observations. [column 'DELAI' in source]
AID625281Drug Induced Liver Injury Prediction System (DILIps) training set; hepatic side effect (HepSE) score for cholelithiasis2011PLoS computational biology, Dec, Volume: 7, Issue:12
Translating clinical findings into knowledge in drug safety evaluation--drug induced liver injury prediction system (DILIps).
AID1079937Severe hepatitis, defined as possibly life-threatening liver failure or through clinical observations. Value is number of references indexed. [column 'MASS' in source]
AID1079947Comments (NB not yet translated). [column 'COMMENTAIRES' in source]
AID1079940Granulomatous liver disease, proven histopathologically. Value is number of references indexed. [column 'GRAN' in source]
AID1079939Cirrhosis, proven histopathologically. Value is number of references indexed. [column 'CIRRH' in source]
[information is prepared from bioassay data collected from National Library of Medicine (NLM), extracted Dec-2023]

Research

Studies (1,680)

TimeframeStudies, This Drug (%)All Drugs %
pre-199018 (1.07)18.7374
1990's472 (28.10)18.2507
2000's571 (33.99)29.6817
2010's456 (27.14)24.3611
2020's163 (9.70)2.80
[information is prepared from research data collected from National Library of Medicine (NLM), extracted Dec-2023]

Market Indicators

Research Demand Index: 63.06

According to the monthly volume, diversity, and competition of internet searches for this compound, as well the volume and growth of publications, there is estimated to be very strong demand-to-supply ratio for research on this compound.

MetricThis Compound (vs All)
Research Demand Index63.06 (24.57)
Research Supply Index7.77 (2.92)
Research Growth Index6.27 (4.65)
Search Engine Demand Index106.39 (26.88)
Search Engine Supply Index2.00 (0.95)

This Compound (63.06)

All Compounds (24.57)

Study Types

Publication TypeThis drug (%)All Drugs (%)
Trials627 (35.85%)5.53%
Reviews114 (6.52%)6.00%
Case Studies89 (5.09%)4.05%
Observational14 (0.80%)0.25%
Other905 (51.74%)84.16%
[information is prepared from research data collected from National Library of Medicine (NLM), extracted Dec-2023]

Clinical Trials (172)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Pharmacological Preconditioning With Desflurane in Liver Surgery [NCT03848780]46 participants (Actual)Interventional2016-04-01Completed
Opioid-Free Shoulder Arthroplasty [NCT03540030]Phase 486 participants (Actual)Interventional2016-09-30Completed
Effect of Targeted Analgesia to ANI (Analgesia/ Nociception Index) During General Anesthesia on Immediate Postoperative Pain and Perioperative Hemodynamic: Multicenter Randomized Controlled Study [NCT03618082]Phase 3380 participants (Anticipated)Interventional2019-06-06Recruiting
Effect of Ventilation on Speed of Induction of Anesthesia in Desflurane, Sevoflurane, and Isoflurane [NCT01171833]36 participants (Actual)Interventional2010-06-30Completed
Designing Optimal Prevention and Management of Postoperative Nausea and Emesis for Patients Undergoing Laparoscopic Sleeve Gastrectomy [NCT03435003]Phase 4104 participants (Actual)Interventional2017-08-28Completed
Influence of Sevoflurane and Desflurane on Postoperative Sore Throat [NCT03259672]100 participants (Anticipated)Interventional2017-10-01Not yet recruiting
Early Cognitive Function and Recovery in Elderly Patients After Laser Laryngeal Surgery: Desflurane-based vs Propofol-based Anesthesia [NCT03194074]Phase 470 participants (Anticipated)Interventional2017-08-15Recruiting
A Randomized Controlled Trial - Total Intravenous Anaesthesia Versus Inhaled Desfluran Anaesthesia in Patients Undergoing Bariatric Surgery. Postoperative Pain and Nausea [NCT03727607]Phase 2160 participants (Actual)Interventional2016-01-30Completed
Perioperative Effect of Desflurane Versus Total Intravenous Anesthesia With Propofol on Hemostasis Guided by Thromboelastometry in Splenectomy With Liver Cirrhosis. [NCT02079064]30 participants (Actual)Interventional2014-01-31Completed
Comparison of the Effects of Sevoflurane and Desflurane on Prevention of Catheter-related Bladder Discomfort [NCT02096224]108 participants (Actual)Interventional2014-05-31Completed
Comparison of Vasodilative Effects Between Sevoflurane and Desflurane Using Peripheral Perfusion Index [NCT03570164]70 participants (Actual)Interventional2018-06-18Completed
Randomized Study Evaluating the Influence of the Strategy Intraoperative Anesthetic (Desflurane Versus Propofol) on Cognitive and Psychomotor Functions in Output Post Interventional Room Monitoring [NCT02036736]Phase 260 participants (Actual)Interventional2013-04-30Completed
The Effect of Propofol Based Total Intravenous Anesthesia on Oxidative Stress and Nitric Oxide in Patients Undergoing Laparoscopic Surgery [NCT02149628]Phase 450 participants (Actual)Interventional2014-05-31Completed
A Randomised Control Trial to Compare Quality of Recovery Between Desflurane and Isoflurane Inhalational Anaesthesia in Patients Receiving General Anaesthesia for Ophthalmological Surgery at Dr. George Mukhari Academic Hospital [NCT04188314]170 participants (Actual)Interventional2020-02-20Completed
[NCT02504138]Phase 4136 participants (Actual)Interventional2014-06-30Completed
Effects of Anesthetics Sevoflurane, Propofol and Desflurane on Postoperative Delirium (POD) and Postoperative Cognitive Disorder (POCD) [NCT03326960]300 participants (Anticipated)Observational2016-01-01Recruiting
Effect of Anesthetics on Oxygenation and Microcirculation During One-lung Ventilation [NCT02191371]104 participants (Actual)Interventional2014-07-31Completed
Effect of Desflurane on Pediatric Acute Respiratory Distress Syndrome After Living Donor Liver Transplant Recipients [NCT05783518]Phase 4165 participants (Anticipated)Interventional2023-03-27Not yet recruiting
Sevoflurane Vs. Sevoflurane-desflurane Anesthesia in Children With Laryngeal Mask Airways; Difference in Respiratory Event, Recovery Time and Emergence Agitation [NCT02470442]200 participants (Actual)Interventional2015-06-30Completed
The Use of Propofol/Ketamine Anesthesia With Bispectral Monitoring (PKA-BIS) Versus Inhalational Anesthetics in Rhytidoplasty - A Prospective, Double-blinded, Randomized Comparison Study [NCT02410460]30 participants (Actual)Interventional2013-09-30Completed
Xenon-anesthesia on Patients Undergoing Major Liver-resection: Randomized Controlled Trial [NCT03504033]Phase 40 participants (Actual)Interventional2018-04-11Withdrawn(stopped due to A device would have had to be maintained. The maintenance company is insolvent; both another maintenance company and another serviced device were not available.)
The Influence of Prone Position for Spinal Surgery on Visual Acuity, a Comparison of Volatile Anesthesia With Desflurane to Total Intravenous Anesthesia With Propofol [NCT03644641]60 participants (Anticipated)Interventional2021-11-28Not yet recruiting
Comparison of Desflurane and Propofol for Brain Relaxation in Patients Undergoing Supratentorial Craniotomy:a Randomized Controlled Study [NCT04691128]111 participants (Actual)Interventional2021-01-26Completed
Bispectral Index-Guided Versus Fixed Dose Administration of Desflurane During Balanced Anesthesia With Remifentanil [NCT02283866]48 participants (Actual)Interventional2014-06-30Completed
Comparison of the Effects of Sevoflurane and Desflurane on Endothelial Glycocalyx in Laparoscopic Hysterectomy Surgery [NCT05068336]50 participants (Actual)Observational [Patient Registry]2021-08-25Completed
Volatile Anesthetics to Reduce Mortality in Cardiac Surgery: A Multicentre Randomized Controlled Study [NCT02105610]Phase 45,400 participants (Actual)Interventional2014-04-14Completed
Automated Closed Loop Propofol Anaesthesia Versus Desflurane Inhalation Anaesthesia In Obese Patients Undergoing Bariatric Surgery: A Comparative Randomized Analysis of Recovery Profile [NCT03099616]Phase 440 participants (Actual)Interventional2017-04-04Completed
The Influence of Type of Anesthesia on Postoperative Renal Function After Nephrectomy: a Randomized Controlled Study [NCT04474600]324 participants (Anticipated)Interventional2020-07-20Recruiting
Electroencephalogram During Increasing and Decreasing Desflurane Concentration [NCT02048475]Phase 40 participants (Actual)Interventional2010-01-31Withdrawn(stopped due to administrative reasons.)
Comparing the Efficacy Between Desflurane and Sevoflurane in Miantainance of Spontaneous General Anaesthesia Using Ambu Aura Gain in Paediatrics Patients [NCT04771962]Phase 1/Phase 280 participants (Actual)Interventional2020-01-01Completed
Effects of General Anesthesia With Propofol Versus Desflurane on Oxidative Stress and Inflammation in Obese Patients Scheduled for Bariatric Surgery [NCT03417518]Phase 440 participants (Actual)Interventional2015-01-31Completed
Postanaesthetic Outcome and Assessment of Fatigue in Day-surgery Laparoscopic Cholecystectomy [NCT01125982]Phase 4130 participants (Actual)Interventional2010-06-30Completed
Optimal End-Tidal Concentration of Sevoflurane and Desflurane for Removal of Supreme Laryngeal Mask Airway in Anaesthetized Adults [NCT01083953]54 participants (Actual)Interventional2009-11-30Completed
Effects of Desflurane-propofol Balanced Anesthesia on Visual Evoked Potentials Monitoring: a Randomized Controlled Study [NCT05465330]70 participants (Anticipated)Interventional2022-07-20Recruiting
Fast-track in Endovascular Aortic Aneurysm Repair With Desflurane and Sevoflurane: a Randomized Clinical Trial [NCT03917186]Phase 480 participants (Actual)Interventional2017-09-20Completed
Comparison the Incidence of Emergence Agitation Between Sevoflurane and Desflurane After Pediatric Urologic Surgery [NCT01235143]136 participants (Actual)Interventional2010-05-31Completed
Emergence Times and Airway Reactions in General Laryngeal Mask Airway Anesthesia: a Randomized Multicenter Controlled Trial (ACC Baxter) [NCT02322502]Phase 3352 participants (Actual)Interventional2015-02-28Completed
The Comparison of Preconditioning Effect of Desflurane and Antiapoptotic Effect of Propofol in Patients With Kidney Transplantation [NCT01132157]Phase 499 participants (Actual)Interventional2010-03-31Completed
Coming Out of Anesthesia After Bariatric Surgery : Desflurane Versus Xenon [NCT01167803]Phase 4192 participants (Actual)Interventional2010-12-31Completed
Depth of Long Term ICU Sedation Under 0,5 MAC Isoflurane, Sevoflurane or Desflurane Using MIRUS, an Automated Delivery System for Volatile Anaesthetics [NCT03860129]30 participants (Actual)Interventional2014-12-10Completed
Effect of Desflurane on Postoperative Sleep Quality in Patients Undergoing Elective Breast Surgery: A Non-inferiority Randomized Controlled Trial [NCT04805775]118 participants (Actual)Interventional2021-10-21Completed
Neuroprotective Effect of Desflurane in the Experimental Study: the Impact if Desflurane Preconditioning on the Content of the Phosphorylated Form of GSK-3b in the Neurons of the Rat's Brain in the Model of Ischemia/Reperfusion [NCT04287842]Phase 40 participants (Actual)Interventional2015-05-31Withdrawn(stopped due to technical problem)
Vasodilation Effect of Inhalational Anesthetics Including Halothane, Isoflurane, Sevoflurane, Desflurane and Enflurane [NCT00815269]300 participants (Actual)Interventional2008-12-31Completed
The Incidence, Risk Factors and Outcome of Postoperative Delirium in Elderly Patients Undergoing Non-cardiac Surgery: a Prospective Observational Study [NCT04707794]270 participants (Anticipated)Observational2021-01-14Recruiting
The Comparison of Changes of QTc, Tp-e Interval, and Tp-e/QT Ratio, Tp-e/QTc Ratio on the ECG During Robotic-assisted Laparoscopic Radical Prostatectomy Under Sevoflurane, Desflurane and Total Intravenous Anesthesia -Randomized Controlled Trial [NCT03539003]69 participants (Actual)Interventional2018-05-31Completed
The Effect of Sevoflurane and Desflurane on Clara Cell Protein on the Lung in Liver Transplant Donors: A Randomized Controlled Clinical Trial [NCT04645316]72 participants (Actual)Interventional2020-11-25Completed
Prospective, Single-blind Study Investigating the Effect of Sevoflurane and Desflurane, Agents Used in Patients on the MEP [NCT03100604]50 participants (Actual)Interventional2013-08-31Completed
Comparison of Desflurane and Sevoflurane Minimal Flow Anesthesia on Recovery Parameters and Anesthetic Depth: a Randomized Prospective Study [NCT05024084]Phase 4130 participants (Anticipated)Interventional2021-09-05Recruiting
Effect of Anesthetics on Microcirculation in Patients Undergoing Off-pump Coronary Artery Bypass Surgery [NCT03209193]Phase 472 participants (Actual)Interventional2017-07-04Completed
A Prospective, Blinded, Clinical Study for Assessing the Effectiveness of the NeuroSENSE for Monitoring the Hypnotic Depth of Anesthesia (DOA) [NCT02088671]76 participants (Actual)Observational2014-06-30Completed
Effect of Propofol and Desflurane on Nucleic Acid of Liver Circulating Tumor [NCT05502458]Phase 260 participants (Actual)Interventional2020-12-01Completed
Comparative Study of Recovery Characteristics Between Remimazolam Anesthesia With Flumazenil and Desflurane Anesthesia for Closed Reduction of Nasal Bone Fracture [NCT05774366]58 participants (Anticipated)Interventional2023-03-22Recruiting
Effect of Anesthesia on Quality of Recovery in Patients Undergoing Correctional Tibial Osteotomy - A Randomized Controlled Trial [NCT02826902]76 participants (Actual)Interventional2016-09-27Completed
The Effect of Desflurane Versus Sevoflurane on Postoperative Recovery in Patients Undergoing Minor- to Moderate-risk Noncardiac Surgery - a Prospective Double-blinded Randomized Clinical Trial [NCT05331027]Phase 4190 participants (Actual)Interventional2022-05-01Completed
Respiratory Impact of Short Life Agents Used in Balanced Anesthesia on Patients Suffering or Suspected of Obstructive Sleep Apnea (OSA) Syndrome [NCT02717780]Phase 460 participants (Actual)Interventional2016-02-29Completed
The Ratio of Hypnotic to Analgesic Potency of Sevoflurane and Desflurane : Randomized Controlled Trial [NCT02698514]Phase 390 participants (Actual)Interventional2016-02-16Completed
Effect of Dexmedetomidine Infusion on Desflurane Consumption and Hemodynamics During BIS Guided Laparoscopic Surgery: A Randomized Controlled Study [NCT02652312]40 participants (Actual)Interventional2016-02-29Completed
Retrospective Investigation of Perioperative Upper Airway Complications After Anesthesia Using Supraglottic Airway Devices in Children: Comparison of Desflurane and Sevoflurane [NCT02644226]3,528 participants (Actual)Observational2015-11-30Completed
Evaluation of Quality of Recovery With QoR-15 Score Following Closed-Loop Anaesthesia Delivery System Guided Propofol Versus Desflurane General Anaesthesia in Patients Undergoing Transabdominal Robotic Surgery: A Randomized Controlled Study [NCT03659539]120 participants (Actual)Interventional2018-09-06Completed
Chimay Plastic Surgery Clinic, Taipei [NCT04036487]104 participants (Actual)Interventional2017-07-28Completed
Does Desflurane Take Longer to Reach Target Endtidal Concentration in Patients With Higher Body Muscle Content: a Pragmatic Study [NCT06026033]361 participants (Actual)Observational2022-02-01Completed
Incidence of Early Postoperative Cognitive Dysfunction After Closed Loop Anesthesia vs Inhalational Anesthesia or TIVA [NCT02656901]132 participants (Actual)Interventional2016-01-31Completed
Phase 2/3 Clinical Study With BLM-240 in Adult Surgery Patients That Need General Anesthesia [NCT00762372]Phase 2/Phase 3216 participants (Actual)Interventional2008-02-29Completed
The Different Analgesic Potency of Sevoflurane and Desflurane at Equi-minimum Alveolar Concentration [NCT02609802]Phase 377 participants (Actual)Interventional2015-11-30Completed
Effects of Sevoflurane and Desflurane Anesthesia on Regulatory T Cells in Patients Undergoing Living Donor Kidney Transplantation [NCT02559297]Phase 240 participants (Actual)Interventional2015-08-10Completed
An Investigation of the Association Between Desflurane Inhalational Agent, Serum Brain Natriuretic Peptide (BNP) Levels and Clinical Outcomes During Coronary Artery Bypass Graft (CABG) Surgery [NCT04238806]151 participants (Actual)Interventional2013-09-01Completed
Delirium Reduction by Volatile Anesthesia in Cardiac Surgery: Prospective, Randomized, Single-blinded Study [NCT03729011]Phase 4672 participants (Anticipated)Interventional2019-01-09Recruiting
Phase 4 Study of Desflurane and Sevoflurane That Affect Pulmonary Mechanics During Minimally Invasive Repair of Pectus Excavatum [NCT01486953]Phase 470 participants (Anticipated)Interventional2011-11-30Recruiting
TIVA Versus Volatile Anesthetics Admnistration on Stress and Pain Levels During Autologous Fat Transfer in Breast Reconstruction, in a Day Care Center [NCT04077827]46 participants (Actual)Interventional2019-09-01Completed
Evaluation of the Impact of Combined Intraoperative Monitoring of Depth of Analgesia, Depth of Anesthesia and Continuous Hemodynamic Data on the Patients Recovery After Cytoreduction Surgery and Hyperthermic Intraperitoneal Chemotherapy [NCT04104334]9 participants (Actual)Interventional2019-05-08Terminated(stopped due to Change in surgical practice and chemotherapy treatment by the surgery team)
[NCT01886664]Phase 470 participants (Actual)Interventional2012-12-31Completed
Effects of Propofol, Desflurane and Spinal Anesthesia on Intraocular Pressure During Lumbar Disc Herniation Surgery: A Randomized Controlled Study [NCT06070480]75 participants (Actual)Interventional2022-01-05Completed
The Effect of Remimazolam on Remifentanil-induced Hyperalgesia [NCT05866315]108 participants (Actual)Interventional2023-05-19Completed
Comparison of Optic Nerve Sheath Diameter According to Position During Laparoscopy [NCT01937104]60 participants (Anticipated)Interventional2013-09-30Completed
Propofol/Dexmedetomidine Versus Desflurane Effects on Post Hepatectomy Hepatocellular Injury [NCT05246371]Early Phase 130 participants (Anticipated)Interventional2021-06-01Recruiting
Comparison Between Propofol and Inhalational Anaesthetic Agents on Cardiovascular Outcomes Following Cardiac Surgery - a Randomised Controlled Feasibility Trial [NCT04039854]Phase 450 participants (Anticipated)Interventional2019-11-20Recruiting
[NCT02909413]600 participants (Anticipated)Interventional2016-10-31Not yet recruiting
The Impact of Different Anesthetic Methods on Ischemia Reperfusion Injury Following Liver Transplantation [NCT01936545]144 participants (Anticipated)Interventional2011-05-31Recruiting
Volatile Anaesthesia and Perioperative Outcomes Related to Cancer (VAPOR-C): A Feasibility Study [NCT04074460]Phase 4169 participants (Actual)Interventional2017-08-27Completed
The Effects of Low Flow and Normal Flow Desflurane Anesthesia on Postoperative Liver and Renal Functions and Serum Cystatin C Levels in Geriatric Patients: A Prospective Randomized Controlled Study [NCT05414721]60 participants (Actual)Interventional2021-05-28Completed
A Randomised Controlled Study of Organ Protection Comparing Desflurane and Propofol in Adult Patients Undergoing Coronary Artery Surgery With Cardiopulmonary Bypass [NCT00400790]182 participants (Actual)Interventional2007-09-30Completed
Conversion From Total Intravenous Anesthesia Technique to Desflurane Anesthesia for Long Duration Neurosurgery: A Pilot Study for Assessment of Recovery Parameters [NCT01985854]Phase 460 participants (Anticipated)Interventional2014-01-31Not yet recruiting
[NCT02003768]0 participants (Actual)Interventional2013-10-31Withdrawn
Effect of Desflurane on Left Ventricular Function in Remifentanil-based Anesthesia for Cardiac Surgery: Tissue Doppler Imaging of Mitral Valve Annular Velocity [NCT02003885]14 participants (Anticipated)Interventional2014-01-31Recruiting
Comparison of Quality of Recovery (QoR)-15 Scores According to the Anesthetics (Desflurane vs. Remimazolam) in the Patients With Lumbar Fusion Surgery: a Prospective Double-blind Randomized Controlled Trial [NCT04983966]76 participants (Anticipated)Interventional2021-08-01Recruiting
Desflurane-induced Myocardial Protection in Aortic Valve Surgery: A Pilot Study [NCT02019797]Phase 450 participants (Anticipated)Interventional2014-01-31Not yet recruiting
Time to Post-Anesthesia Neurological Evaluation and Hemodynamic Stability in Carotid Endarterectomy Comparing Three General Anesthetic Techniques Targeted to a Preset Bispectral Index Value: a Pilot Study [NCT03996148]Phase 421 participants (Actual)Interventional2017-09-29Completed
The Effect of Desflurane on Myocardial Function in Patients Undergoing Coronary Artery Bypass Grafting [NCT02213718]Phase 460 participants (Anticipated)Interventional2014-07-31Recruiting
A Study Evaluating the Effect of Desflurane in Preventing Postoperative Cognitive Dysfunction [NCT04541823]Phase 4100 participants (Anticipated)Interventional2021-05-01Recruiting
[NCT02212340]84 participants (Actual)Interventional2014-07-31Completed
Accuracy of the MAAS Method (Minimal-flow Auto-control Anesthesia System) for the Administration of Desflurane and Sevoflurane in the Anesthetic Maintenance Phase. Prospective and Paired Observational Study. [NCT05511610]20 participants (Anticipated)Interventional2024-01-10Not yet recruiting
Comparison of The Effects of Sevoflurane, Desflurane and Total Intravenous Anaesthesia on Pulmonary Function Tests in Patients Undergoing Endoscopic Endonasal Transsphenoidal Surgery of Pituitary Gland [NCT02709863]90 participants (Anticipated)Interventional2015-10-31Recruiting
Factors Affecting the Effective End-tidal Concentration of Desflurane Anaesthesia [NCT02617680]80 participants (Actual)Interventional2015-02-28Completed
Power Spectral Analysis of the Electroencephalogram During Equi-MAC Sevoflurane vs. Desflurane Anesthesia: A Randomized Controlled Trial [NCT02872389]Phase 390 participants (Actual)Interventional2016-08-16Completed
Comparison of Effects of Sevoflurane and Desflurane on Cerebral Oxygenation During Controlled Hypotension [NCT02834845]Phase 495 participants (Actual)Interventional2016-06-30Completed
The Comparison of Analgesic Effect of Volatile Anesthetics Using Surgical Pleth Index [NCT02830243]Phase 390 participants (Actual)Interventional2016-07-12Completed
Neuronale Mechanismen Der Sensorischen Reizverarbeitung in Der Narkose [NCT00434382]768 participants Interventional2002-10-31Active, not recruiting
The Effect of Anesthetics Agents on Vascular Injury and Level of Syndecan-1 During Knee Surgery [NCT02756715]80 participants (Actual)Interventional2016-05-30Completed
A Comparison of the Anesthetic and Hemodynamic Effects of a Volatile Anesthetic (Desflurane) and an Intravenous Anesthetic (Propofol), During Lung Volume Reduction Surgery [NCT04226625]Phase 418 participants (Actual)Interventional2000-01-31Completed
A Pilot Study to Measure Blood Levels of Desflurane in Children [NCT00577369]7 participants (Actual)Interventional2007-12-31Completed
[NCT01870011]Phase 46 participants (Actual)Interventional2013-12-31Completed
Comparison of Emergence and Recovery Time, and Evaluation of Oxygenation During One-lung Ventilation With Desflurane and Propofol Anesthesia in Lung Surgery- A Pilot Study [NCT02324283]80 participants (Anticipated)Interventional2012-10-31Active, not recruiting
Post Operative Cognitive Recovery and Neuropsychological Complications After General Anesthesia. A Comparison Between Different Techniques of Anesthesia: A Multi-Center Observational Study [NCT00507195]1,200 participants (Anticipated)Observational2007-05-31Recruiting
Comparison of Desflurane and Propofol Anesthesia for Off-Pump Coronary Artery Bypass Grafting Surgery [NCT00528515]Phase 480 participants (Actual)Interventional2007-02-28Completed
Comparison of Desflurane Balanced Anesthesia Versus TIVA-TCI (Total IntraVenous Anesthesia-Target Controlled Infusion) in Patients Undergoing Ophthalmic Ambulatory Surgery: A Single Center, Prospective, Randomized, Controlled Study [NCT02922660]209 participants (Actual)Interventional2016-10-31Completed
The Effect of Desflurane Versus Sevoflurane Versus Propofol on Postoperative Delirium in Elderly Patients Undergoing Moderate- to High-risk Major Noncardiac Surgery - a Prospective, Observer-blinded, Randomized, Clinical Trial [NCT05990790]Phase 41,332 participants (Anticipated)Interventional2023-09-03Recruiting
Effects of an Opioid Sparing Care Pathway for Patients Undergoing Obesity Surgery [NCT03756961]220 participants (Anticipated)Interventional2019-05-01Recruiting
Investigating the Etiology of Hemifacial Spasm (HFS): The Role of Desflurane [NCT01726725]25 participants (Anticipated)Observational2012-11-30Enrolling by invitation
Desflurane or Propofol Anesthesia in Elderly Obese Patients Undergoing Total Knee Replacement: A Pilot Assessment of Short-term and Long-term Differences in Outcome [NCT01270620]Phase 4100 participants (Actual)Interventional2010-12-31Completed
A Comparison of Desflurane vs. Sevoflurane on Time to Awakening and the Incidence and Severity of Cough After Ambulatory Surgery Using Laryngeal Mask Airway [NCT01202162]85 participants (Actual)Interventional2010-02-28Completed
The Effect of Two Different Anesthetic Methods on Gastrointestinal Motility in Patients Scheduled for Laparoscopic Sleeve Gastrectomy: a Prospective, Randomized, Single Blinded Clinical Trial [NCT05951686]60 participants (Anticipated)Interventional2022-08-15Recruiting
Dreaming and EEG Changes During Anaesthesia Maintained With Propofol or Desflurane [NCT00446212]Phase 4300 participants (Actual)Interventional2006-08-31Completed
[NCT01760018]76 participants (Actual)Interventional2012-12-31Completed
The Effect of Different Modalities of General Anesthesia and Regional Cerebral Oxygenation on Postoperative Cognitive Dysfunction in Elderly Patients Undergoing Spine Surgery in Prone Position [NCT05148637]105 participants (Actual)Interventional2019-11-01Completed
Evaluating the Use of Desflurane in Patients Undergoing Spinal Surgery: A Randomized Controlled Trial Using 0.5 and 0.75 MAC Desflurane [NCT04717102]Phase 4100 participants (Anticipated)Interventional2021-04-14Recruiting
[NCT01549990]236 participants (Actual)Observational2012-02-29Completed
[NCT02971254]Phase 239 participants (Actual)Interventional2016-12-01Completed
The Effect of Desfluran Administered in General Anesthesia On Global Dna Methylation [NCT05111717]40 participants (Actual)Observational2021-11-17Completed
Prospective, Randomized, Simple Blind Study Comparing the Effects of an Anaesthesia With Propofol to an Anaesthesia With Desflurane on Oxydative Stress and Liver Function Recovery After Hepatectomy [NCT00219856]Phase 334 participants (Actual)Interventional2004-08-31Completed
Effects of Desflurane on the Quality of Anesthesia Recovery Period in Patients Undergoing Endonasal Endoscopic Pituitary Adenoma Resection#a Randomized Controlled Study [NCT05088252]112 participants (Actual)Interventional2021-12-01Completed
Decision Support for Intraoperative Low Blood Pressure [NCT02726620]22,435 participants (Actual)Interventional2017-01-05Completed
The Effects of Remifentanil, Sevoflurane, Isoflurane and Desflurane on Left Ventricular Diastolic Function in Humans [NCT00244517]Phase 460 participants (Actual)Interventional2004-06-30Terminated(stopped due to Part II was not performed as we could not include enough patients fulfilling the inclusion criteria.)
To Compare Effect of Sevoflurane Versus Desflurane on the Return of Protective Airway Reflexes in the Elderly Population [NCT01833676]Phase 451 participants (Actual)Interventional2012-03-31Completed
Intraocular Pressure Changes During Laparoscopic Colorectal Surgery: Propofol Versus Desflurane Anesthesia [NCT03016234]50 participants (Actual)Interventional2016-09-29Completed
The Impact of Different Anesthetic Methods on the Interaction of Gut Microbiota and Metabolomics Following Hepatectomy [NCT04767503]60 participants (Anticipated)Interventional2021-02-20Recruiting
Effects of Desflurane and Sevoflurane Anesthesia on Postoperative Liver Functions in Pediatric Cancer Patients With Elevated Liver Enzymes [NCT04775212]60 participants (Anticipated)Interventional2021-06-17Enrolling by invitation
Phase II Study, Randomized, Monocentric, Single-blind, Comparing the Efficacy of Xenon and Desflurane, in Association With a Thoracic Epidural Analgesia in the Maintenance Phase of a Colorectal Oncologic Surgery [NCT01696630]Phase 231 participants (Actual)Interventional2012-10-31Completed
Impact of Desflurane Versus Sevoflurane Anesthesia Maintenance Methods on Incidence of Postoperative Delirium in Elderly Patients [NCT06176144]890 participants (Anticipated)Interventional2023-09-10Recruiting
Recovery Following Desflurane vs Sevoflurane for Outpatient Urologic Surgery in Elderly Females [NCT01310582]Phase 457 participants (Actual)Interventional2011-05-31Completed
A Comparison of Post-operative Recovery Between Remifentanil-propofol and Remifentanil-desflurane Anesthesia Guided by Bispectral Index Monitoring [NCT02631525]Phase 440 participants (Actual)Interventional2014-08-31Completed
A Pilot Study to Determine the Efficacy and Safety of Detecting Subtle Visual Changes During Visual Evoked Potential (VEP) Monitoring Using SightSaver ™ Flash Visual Evoked Potential Stimulator in Spine Prone Surgery [NCT02643615]20 participants (Actual)Interventional2014-09-30Completed
Comparative Study Between Inhalational Anaesthesia and Total Intravenous Anaesthesia (TIVA) With Dexmedetomidine for Morbidly Obese Patients Undergoing Laparoscopic Sleeve Gastrectomy [NCT03029715]100 participants (Actual)Interventional2014-02-28Completed
[NCT01924871]Phase 462 participants (Actual)Interventional2013-07-31Completed
[NCT01878656]Phase 4144 participants (Actual)Interventional2013-04-30Completed
[NCT01443572]40 participants (Actual)Interventional2011-09-30Completed
Desflurane and Its Effect on Postoperative Morbidity and Mortality in Patients Undergoing Thoracic Surgery [NCT01452256]Phase 4460 participants (Actual)Interventional2011-12-31Completed
Anaesthesiology Management and the Impact on Emergenece Delirium Incidence in Paediatric Patients Undergoing Adenoidectomy or Adenoidectomy With Frenulum Dicsision a/or Microotoscopy: Randomized Controlled Trial [NCT04291820]300 participants (Anticipated)Interventional2023-09-01Not yet recruiting
Postoperative Pain After Laparoscopic Cholecystectomy After Anesthesia With Isoflurane, Desflurane, Sevoflurane or Propofol [NCT00983918]80 participants (Actual)Interventional2009-09-30Completed
Effect-site Concentration of Remifentanil for Smooth Induction With Desflurane [NCT02379715]Phase 426 participants (Actual)Interventional2014-12-31Completed
Automated Control of End-tidal Volatile Anesthetic Concentration Using the MIRUS System: A Comparison of Isoflurane, Sevoflurane and Desflurane in Anesthesia. [NCT02342509]63 participants (Actual)Interventional2014-09-30Completed
[NCT01899248]52 participants (Actual)Observational2012-12-31Completed
Comparison of the Effect of Sevoflurane and Desflurane on Patient State Index: A Randomized Controlled Trial [NCT03587779]74 participants (Actual)Interventional2018-07-24Completed
Analysis of Change of Optic Nerve Sheath Diameter Using Ultrasonography in Robot Assisted Laparoscopic Radical Prostatectomy [NCT03152981]60 participants (Actual)Interventional2017-06-03Completed
A Randomized, Double-Blind, Double-Arm Trial Comparing Desflurane to Sevoflurane for the Effect on Recovery Time in Patients Undergoing Urological Cystoscope Surgery Under General Anesthesia With a Laryngeal Mask Airway (LMA) [NCT01219881]Phase 375 participants (Actual)Interventional2010-09-30Completed
The Change of Tissue Oxygen Saturation Measured by Dynamic Near Infrared Spectroscopy Following Volatile Anesthesia in Healthy Population [NCT03060798]60 participants (Actual)Observational2016-08-02Completed
International Review Board of Gachon University Gil Hospital [NCT01436799]40 participants (Actual)Interventional2011-03-31Completed
Optimization of Desflurane in Elderly Patients Compared With Sevoflurane: A Pilot Study [NCT01700907]Phase 1/Phase 220 participants (Actual)Interventional2012-08-31Completed
The Effect of Two Different General Anesthesia Regimes on Postoperative Sleep Quality [NCT02061514]80 participants (Anticipated)Interventional2014-03-31Recruiting
Comparison of Skin Sympathetic Nerve Activity According to Different Anesthetics During Transurethral Procedures [NCT03763305]0 participants (Actual)Interventional2023-01-01Withdrawn(stopped due to Devices for measuring SKNA are need to be re-constructed, which takes considerable time.)
Effect of Dexmedetomidine Infusion for Postoperative Outcome and Smooth Emergence After Thyroidectomy [NCT02412150]139 participants (Actual)Interventional2014-04-30Completed
Effects of Different Inhalational Anesthetic Agents on the Incidence of Clinical and Subclinical Acute Kidney Injury After Liver Resection Surgery: a Pilot Study [NCT02174575]Phase 40 participants (Actual)Interventional2014-07-31Withdrawn(stopped due to I retired my post before enrollment)
The Effect of Preoperative Ketamine on the Emergence Characteristics After Desflurane or Sevoflurane Anesthesia in Children Undergoing Entropion Surgery [NCT02916407]56 participants (Actual)Interventional2016-09-30Completed
Comparison of Postoperative Delirium in Patients Anaesthetised With Isoflurane and Desflurane During Spinal Surgery [NCT02925611]Phase 460 participants (Actual)Interventional2016-01-31Completed
Real-time Decision Support for Postoperative Nausea and Vomiting (PONV) Prophylaxis [NCT02625181]27,034 participants (Actual)Interventional2016-07-31Completed
The Effect of Anaesthesia Depth on Oculo-cardiac Reflex in Strabismus Surgery [NCT02379546]Phase 464 participants (Actual)Interventional2013-08-31Completed
Anesthesia During Neurophysiologic Monitoring in Scoliosis Patients: Volatile Agents Versus Total Intravenous Anesthesia [NCT01549873]30 participants (Actual)Interventional2012-01-31Completed
[NCT02458547]186 participants (Actual)Interventional2015-05-31Completed
Resectable Pancreatic Adenocarcinoma - Does the Type of Anesthesia Have an Impact on Circulating Tumor Cells? [NCT02335151]Phase 486 participants (Actual)Interventional2016-10-31Completed
The Comparison of Changes of QTc, Tp-e Interval, and Tp-e/QT Ratio, Tp-e/QTc Ratio on the ECG During Living Donor Liver Transplantation Under Desflurane and Total Intravenous Anesthesia -Randomized Controlled Trial [NCT03864276]120 participants (Actual)Interventional2019-02-17Completed
Blood Levels of Sevoflurane and Desflurane During One Lung Ventilation [NCT03015350]16 participants (Actual)Observational2016-12-31Completed
The Effect of Anesthesia on the Recruitment of Motor Evoked Potentials Using an Increased Number of Pulses [NCT02199314]30 participants (Actual)Interventional2013-03-31Completed
Comparison of Desflurane and Sevoflurane on Remifentanil Requirement Using Analgesia Nociception Index-guided Anesthesia [NCT06123624]78 participants (Anticipated)Interventional2023-11-27Not yet recruiting
Evaluating the Effect of Desflurane Versus Sevoflurane With Recent Biomarkers of Renal and Hepatic Function in Laparoscopic Cholecystectomy Patients: A Prospective Randomized Double Blinded Study [NCT05027191]70 participants (Actual)Observational2018-02-15Completed
Effect of Anesthetic Choice (Sevoflurane Versus Desflurane) on Speed and Sustained Nature of Airway Reflex Recovery in the Context of Antagonized Neuromuscular Block [NCT01199237]Phase 4107 participants (Actual)Interventional2010-08-31Completed
The Effect of Desflurane vs Sevoflurane on Perioperative Respiratory Complications in Laryngeal Mask Airway Anesthesia: A Prospective Randomized Double-blinded Control Study [NCT03006250]Phase 4220 participants (Anticipated)Interventional2016-08-31Recruiting
[NCT02515968]0 participants (Actual)Interventional2015-08-31Withdrawn(stopped due to The paper is about to publish on the same subject abroad, so the investigator decieded to stopped the study.)
Comparison Of Pharmacological Neuroprotection Provided By PROPOFOL VERSUS DESFLURANE For Long Term Postoperative Cognitive Dysfunction In Patients Undergoing Surgery For Aneurysmal Subarachnoid Hemorrhage [NCT02987218]Phase 4100 participants (Actual)Interventional2015-07-31Completed
Comparison Between Volatile Anesthetic-desflurane and Total Intravenous Anesthesia With Propofol and Remifentanil on Early Recovery Quality and Long Term Prognosis of Patients Undergoing Pancreatic Cancer and Common Bile Duct Cancer Surgery [NCT03447691]132 participants (Anticipated)Interventional2017-08-27Recruiting
The Effect of BIS Monitorization to Intraoperative Anesthetic and Analgesic Consumption During Coronary Artery Grafting Surgery and Postoperative Mortality and Morbidity [NCT02520947]50 participants (Actual)Interventional2014-01-31Completed
Randomized Controlled Trial of the Effect of General Anesthetics on Postoperative Recovery After Minimally Invasive Nephrectomy (REGAIN Trial) [NCT04447105]150 participants (Actual)Interventional2020-06-28Completed
Genotoxic Effects of Desflurane and Propofol Anesthesia in Patients Undergoing Lumbar Disc Surgery [NCT05185167]30 participants (Actual)Interventional2022-01-17Completed
Contribution Of Anesthesia Technique For Post-operative Mortality Reduction After Proximal Femur Fractures Surgical Treatment - A Randomized Clinical Trial [NCT02406300]57 participants (Actual)Interventional2015-04-01Terminated(stopped due to Organizational changes made recruitment no longer possible)
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

TrialOutcome
NCT00762372 (18) [back to overview]Number of Participants Requiring Rescue Medication Due to Drop in Blood Pressure or Heart Rate
NCT00762372 (18) [back to overview]Overall Assessment of Efficacy
NCT00762372 (18) [back to overview]Range of End-Tidal Anesthetic Percent Concentrations During Anesthetic Maintenance
NCT00762372 (18) [back to overview]Range of Inspired Anesthetic Concentrations Below End-Tidal Anesthetic Percent Concentrations During Anesthetic Maintenance
NCT00762372 (18) [back to overview]End-Tidal Anesthetic Percent Concentrations Successfully Maintained Anesthesia
NCT00762372 (18) [back to overview]Number of Participants Requiring Rescue Medication Due to Arrhythmia
NCT00762372 (18) [back to overview]Number of Participants Requiring Rescue Medication Due to Rise in Blood Pressure or Heart Rate
NCT00762372 (18) [back to overview]Time to Awakening
NCT00762372 (18) [back to overview]Time to Clear Consciousness
NCT00762372 (18) [back to overview]Time to Extubation
NCT00762372 (18) [back to overview]Time to Reaching an Aldrete Score >=8 (Min)
NCT00762372 (18) [back to overview]Time to Stating Birth Date
NCT00762372 (18) [back to overview]Changes in Bispectral Index (BIS) Over Time During Anethetic Maintenance
NCT00762372 (18) [back to overview]Number of Participants Not Receiving Rescue Treatment Whose Blood Pressure/Heart Rate Maintained Above/Below 70%
NCT00762372 (18) [back to overview]Number of Participants Receiving Rescue Treatment Whose Blood Pressure/Heart Rate Maintained Above/Below 70%
NCT00762372 (18) [back to overview]Number of Participants Requiring Rescue Treatment During Anesthetic Maintenance
NCT00762372 (18) [back to overview]Number of Participants With Body Movement During Anesthetic Maintenance
NCT00762372 (18) [back to overview]Number of Participants With Recall/Memory Issues During Anesthetic Maintenance
NCT00983918 (1) [back to overview]Pain Measured on Verbal Scale of 0-10
NCT01199237 (5) [back to overview]Nausea and Vomiting
NCT01199237 (5) [back to overview]Time From Potent Inhaled Anesthetic Discontinuation to First Response to Command (T1)
NCT01199237 (5) [back to overview]Time From Anesthetic Discontinuation to First Ability to Swallow
NCT01199237 (5) [back to overview]Nausea and Vomiting
NCT01199237 (5) [back to overview]Recovery of Ability to Swallow After Neostigmine/Glycopyrrolate Antagonism of Rocuronium Paralysis.
NCT01202162 (3) [back to overview]Time to Awakening
NCT01202162 (3) [back to overview]Quality of Recovery 40
NCT01202162 (3) [back to overview]Number of Participants Who Coughed
NCT01219881 (4) [back to overview]Incidence of Coughing at Extubation, Approximately 10 Minutes After End of Surgery
NCT01219881 (4) [back to overview]Difference in Time to Orientation
NCT01219881 (4) [back to overview]Recovery Time
NCT01219881 (4) [back to overview]Time to Extubation
NCT01270620 (23) [back to overview]Trail Making Part B
NCT01270620 (23) [back to overview]Troponin I
NCT01270620 (23) [back to overview]Duration of Anesthesia
NCT01270620 (23) [back to overview]Trail Making Part A
NCT01270620 (23) [back to overview]- Time to Eye Opening After Desflurane/Propofol Discontinuation
NCT01270620 (23) [back to overview]- Time to Following Command After Desflurane/Propofol Discontinuation
NCT01270620 (23) [back to overview]- Time to Spontaneous Breathing After Desflurane/Propofol Discontinuation
NCT01270620 (23) [back to overview]- Time to Tracheal Extubation After Desflurane/Propofol Discontinuation
NCT01270620 (23) [back to overview]Amount of Intraoperative Fentanyl
NCT01270620 (23) [back to overview]Assessment of Delirium
NCT01270620 (23) [back to overview]B-type Natriuretic Peptide
NCT01270620 (23) [back to overview]BNP
NCT01270620 (23) [back to overview]Digit Symbol Substitution Test
NCT01270620 (23) [back to overview]Digit Symbol Substitution Test
NCT01270620 (23) [back to overview]Duration of Surgery
NCT01270620 (23) [back to overview]N-terminal proBNP
NCT01270620 (23) [back to overview]Nausea and Vomiting
NCT01270620 (23) [back to overview]ProBNP
NCT01270620 (23) [back to overview]Recall of Digit Span
NCT01270620 (23) [back to overview]Recall of Digit Span
NCT01270620 (23) [back to overview]Recovery Room Time
NCT01270620 (23) [back to overview]Trail Making Part A
NCT01270620 (23) [back to overview]Trail Making Part B
NCT01310582 (2) [back to overview]Time to Opening of Eyes
NCT01310582 (2) [back to overview]Time to Discharge From PACU
NCT01436799 (1) [back to overview]Regional Cerebral Oxygen Satuation (rSO2)
NCT01549873 (3) [back to overview]Latency of the SSEP's
NCT01549873 (3) [back to overview]Amplitude Required to Elicit the MEP
NCT01549873 (3) [back to overview]Amplitude of the SSEPs
NCT01700907 (5) [back to overview]The Time From the End of Anesthesia to Extubation
NCT01700907 (5) [back to overview]The Time From the End of Anesthesia to Eye Opening
NCT01700907 (5) [back to overview]The Time From the End of Anesthesia to Following Commands
NCT01700907 (5) [back to overview]Cognitive Function
NCT01700907 (5) [back to overview]The Incidence of Postoperative Delirium
NCT01878656 (1) [back to overview]The Incidence of Emergence Agitation Using Four-point Categorical Scale
NCT01924871 (1) [back to overview]Awakening Time
NCT02199314 (1) [back to overview]Effect of Pulse Train Length on Transcranial Motor Evoked Potentials (TcMEP) Area Under Total Intravenous Anesthesia (TIVA) and TIVA Plus 3% Desflurane
NCT02625181 (4) [back to overview]The Number of Prophylactic Interventions for PONV
NCT02625181 (4) [back to overview]Adherence to PONV Guidelines
NCT02625181 (4) [back to overview]PONV Incidence: Number of Participants With Postoperative Nausea and Vomiting
NCT02625181 (4) [back to overview]Time to Discharge From the Postanesthesia Care Unit (PACU)
NCT02631525 (1) [back to overview]Extubation Time
NCT02643615 (4) [back to overview]Efficacy in Detecting Subtle Intraoperative VEP Changes Using SightSaver Visual Stimulator During Spine Prone Surgeries Under Balanced General Anesthesia Versus TIVA.
NCT02643615 (4) [back to overview]The Difference in VEP Changes in Amplitude Among Both Groups
NCT02643615 (4) [back to overview]The Difference in VEP Changes in Amplitude Among Both Groups
NCT02643615 (4) [back to overview]Safety of Using SightSaver Visual Stimulator During Spine Prone Surgeries Under Balanced General Anesthesia Versus TIVA
NCT02726620 (43) [back to overview]Incidence of a MAP < 50 mmHg for > 20 Minutes
NCT02726620 (43) [back to overview]Incidence of a MAP < 55 mmHg
NCT02726620 (43) [back to overview]Incidence of a MAP < 55 mmHg for > 10 Minutes
NCT02726620 (43) [back to overview]Incidence of a MAP < 55 mmHg for > 20 Minutes
NCT02726620 (43) [back to overview]Incidence of a MAP < 60 mmHg
NCT02726620 (43) [back to overview]Incidence of a MAP < 60 mmHg for > 10 Minutes
NCT02726620 (43) [back to overview]Incidence of a MAP < 60 mmHg for > 20 Minutes
NCT02726620 (43) [back to overview]Intraoperative Administration of Intravenous Fluids
NCT02726620 (43) [back to overview]Intravenous Anesthetic Drug Use During Intraoperative Hypotension: MAP < 50 mmHg
NCT02726620 (43) [back to overview]Intravenous Anesthetic Drug Use During Intraoperative Hypotension: MAP < 55 mmHg
NCT02726620 (43) [back to overview]Intravenous Anesthetic Drug Use During Intraoperative Hypotension: MAP < 60 mmHg
NCT02726620 (43) [back to overview]Intravenous Anesthetic Drug Use During Intraoperative Hypotension: MAP < 65 mmHg
NCT02726620 (43) [back to overview]Postoperative Rise in Creatinine Levels
NCT02726620 (43) [back to overview]Time to Discharge Readiness at the Postanesthesia Care Unit (PACU)
NCT02726620 (43) [back to overview]Timing of Cardiovascular Drugs for MAP < 50 mmHg
NCT02726620 (43) [back to overview]Timing of Cardiovascular Drugs for MAP < 55 mmHg
NCT02726620 (43) [back to overview]Timing of Cardiovascular Drugs for MAP < 60 mmHg
NCT02726620 (43) [back to overview]Timing of Cardiovascular Drugs for MAP < 65 mmHg
NCT02726620 (43) [back to overview]Usage Frequency of Cardiovascular Drugs: Ephedrine
NCT02726620 (43) [back to overview]Usage Frequency of Cardiovascular Drugs: Ephinephrine
NCT02726620 (43) [back to overview]Usage Frequency of Cardiovascular Drugs: Glycopyrrolate
NCT02726620 (43) [back to overview]Usage Frequency of Cardiovascular Drugs: Norepinephrine
NCT02726620 (43) [back to overview]Usage Frequency of Cardiovascular Drugs: Phenylephrine
NCT02726620 (43) [back to overview]Inhaled Anesthetic Drug Use During Intraoperative Hypotension: MAP < 50 mmHg
NCT02726620 (43) [back to overview]Inhaled Anesthetic Drug Use During Intraoperative Hypotension: MAP < 55 mmHg
NCT02726620 (43) [back to overview]Inhaled Anesthetic Drug Use During Intraoperative Hypotension: MAP < 60 mmHg
NCT02726620 (43) [back to overview]Inhaled Anesthetic Drug Use During Intraoperative Hypotension: MAP < 65 mmHg
NCT02726620 (43) [back to overview]Depth and Duration of Intraoperative Hypotension - Threshold MAP 70 mmHg
NCT02726620 (43) [back to overview]Depth and Duration of Intraoperative Hypotension - Threshold MAP 65 mmHg
NCT02726620 (43) [back to overview]Depth and Duration of Intraoperative Hypotension - Threshold MAP 60 mmHg
NCT02726620 (43) [back to overview]Estimated Intraoperative Blood Loss
NCT02726620 (43) [back to overview]Depth and Duration of Intraoperative Hypotension - Threshold MAP 55 mmHg
NCT02726620 (43) [back to overview]In-hospital Mortality
NCT02726620 (43) [back to overview]Incidence of a MAP < 50 mmHg
NCT02726620 (43) [back to overview]30-day Mortality
NCT02726620 (43) [back to overview]Depth and Duration of Intraoperative Hypotension - Threshold MAP 50 mmHg
NCT02726620 (43) [back to overview]Average Use of Cardiovascular Drugs: Phenylephrine
NCT02726620 (43) [back to overview]Average Use of Cardiovascular Drugs: Norepinephrine
NCT02726620 (43) [back to overview]Average Use of Cardiovascular Drugs: Glycopyrrolate
NCT02726620 (43) [back to overview]Average Use of Cardiovascular Drugs: Epinephrine
NCT02726620 (43) [back to overview]Average Use of Cardiovascular Drugs: Ephedrine
NCT02726620 (43) [back to overview]Depth and Duration of Intraoperative Hypotension - Threshold MAP 75 mmHg
NCT02726620 (43) [back to overview]Incidence of a MAP < 50 mmHg for > 10 Minutes
NCT02916407 (2) [back to overview]Extubation Time
NCT02916407 (2) [back to overview]Degree of Postoperative Agitation
NCT02925611 (4) [back to overview]CAM-S Delirium Severity Score With Isoflurane and Desflurane
NCT02925611 (4) [back to overview]Post Operative Pain Scores With Isoflurane and Desflurane
NCT02925611 (4) [back to overview]Post Operative Pain Scores With Isoflurane and Desflurane
NCT02925611 (4) [back to overview]CAM-S Delirium Severity Score With Isoflurane and Desflurane
NCT03029715 (2) [back to overview]The Intra-operative Mean Arterial Blood Pressure.
NCT03029715 (2) [back to overview]Analgesic Requirements.
NCT03540030 (16) [back to overview]ASES
NCT03540030 (16) [back to overview]Veterans RAND 12 Item Health Survey (VR-12©) Physical Health Subscore, and Mental Health Subscore
NCT03540030 (16) [back to overview]Veterans RAND 12 Item Health Survey (VR-12©) Physical Health Subscore, and Mental Health Subscore
NCT03540030 (16) [back to overview]Pain Satisfaction
NCT03540030 (16) [back to overview]Pain Satisfaction
NCT03540030 (16) [back to overview]Nausea
NCT03540030 (16) [back to overview]Nausea
NCT03540030 (16) [back to overview]Falls
NCT03540030 (16) [back to overview]Falls
NCT03540030 (16) [back to overview]Constipation
NCT03540030 (16) [back to overview]Additional Post Op Pain
NCT03540030 (16) [back to overview]Simple Shoulder Test
NCT03540030 (16) [back to overview]Simple Shoulder Test
NCT03540030 (16) [back to overview]Post Op Pain
NCT03540030 (16) [back to overview]Morphine Use
NCT03540030 (16) [back to overview]Constipation
NCT03996148 (1) [back to overview]Time to First Neurological Exam

Number of Participants Requiring Rescue Medication Due to Drop in Blood Pressure or Heart Rate

Rescue medication can include vasopressors and depressors. (NCT00762372)
Timeframe: Day 1 (During surgery, duration ranging <2 hours, 2-4 hours, and ≥4 hours)

Interventionparticipants (Number)
BLM-240 Group40
BLM-240 N2O Group32
BLM-240 O2 Group8
Sevoflurane Group16

[back to top]

Overall Assessment of Efficacy

Evaluation on the efficacy (ability) of BLM-240 as an anesthetic drug. (NCT00762372)
Timeframe: Day 1 (During surgery, duration ranging <2 hours, 2-4 hours, and ≥4 hours)

,,,
Interventionparticipants (Number)
Excellent AbilitySufficient AbilitySome AbilityInsufficient AbilityInadequateUnevaluable
BLM-240 Group111944101
BLM-240 N2O Group68735001
BLM-240 O2 Group4329100
Sevoflurane Group31316000

[back to top]

Range of End-Tidal Anesthetic Percent Concentrations During Anesthetic Maintenance

Measurement by infrared absorption spectrometry. The concentrations of BLM-240 and sevoflurane at the start of inhalation were set at 3% and 1%,respectively (by vaporizer dial setting). Concentrations are monitored to determine which levels keep the patient in stable condition without requiring rescue treatment. (NCT00762372)
Timeframe: Day 1 [just before the start of inhalation of study drug, during anesthetic maintenance (every 5 minutes after the start of inhalation of study drug), at the end of inhalation of study drug, immediately after awakening, and just before extubation]

,,
Interventionpercentage (Number)
Low RangeHigh Range
BLM-240 N2O Group34
BLM-240 O2 Group45
Sevoflurane Group1.21.4

[back to top]

Range of Inspired Anesthetic Concentrations Below End-Tidal Anesthetic Percent Concentrations During Anesthetic Maintenance

Measurement by infrared absorption spectrometry. Ranges reflecting when concentrations were stable. The inspired concentration was adjusted depending on the patient's condition during anesthetic maintenance (gas flow rate: 2 to 6 L/min). (NCT00762372)
Timeframe: Day 1 [just before the start of inhalation of study drug, during anesthetic maintenance (every 5 minutes after the start of inhalation of study drug), at the end of inhalation of study drug, and just before extubation]

,
Interventionpercentage (Number)
Low RangeHigh Range
BLM-240 Group0.30.5
Sevoflurane Group0.10.3

[back to top]

End-Tidal Anesthetic Percent Concentrations Successfully Maintained Anesthesia

Successfully maintaining anesthesia is defined as keeping the patient in stable condition (systolic pressure 80 to <150 mmHg and heart rate 50 to <100bpm) without requiring rescue treatment or additional dose of opioid analgesics (<=2 ug/kg/hr).If patient was found to have body movement, recall, or memory during anesthetic maintenance, data for such patient were to be excluded from summary statistic calculation. (NCT00762372)
Timeframe: Day 1 [just before the start of inhalation of study drug, during anesthetic maintenance (every 5 minutes after the start of inhalation of study drug), at the end of inhalation of study drug, immediately after awakening, and just before extubation]

Interventionpercentage (Mean)
BLM-240 Group3.97
BLM-240 N2O Group3.69
BLM-240 O2 Group4.48
Sevoflurane Group1.30

[back to top]

Number of Participants Requiring Rescue Medication Due to Arrhythmia

Rescue medication can include vasopressors and depressors. (NCT00762372)
Timeframe: Day 1 (During surgery, duration ranging <2 hours, 2-4 hours, and ≥4 hours)

Interventionparticipants (Number)
BLM-240 Group3
BLM-240 N2O Group1
BLM-240 O2 Group2
Sevoflurane Group0

[back to top]

Number of Participants Requiring Rescue Medication Due to Rise in Blood Pressure or Heart Rate

Rescue medication can include vasopressors and depressors. (NCT00762372)
Timeframe: Day 1 (During surgery, duration ranging <2 hours, 2-4 hours, and ≥4 hours)

Interventionparticipants (Number)
BLM-240 Group6
BLM-240 N2O Group4
BLM-240 O2 Group2
Sevoflurane Group0

[back to top]

Time to Awakening

Time from the end of study drug inhalation. After the end of inhalation of the study drug, the investigator commanded the patient to open his/her eyes once every minute to check whether he/she awoke and recorded the time of awakening. (NCT00762372)
Timeframe: Day 1 (Post-Surgery, from the end of study drug inhalation to awakening)

Interventionminutes (Mean)
BLM-240 Group6.8
BLM-240 N2O Group7.2
BLM-240 O2 Group6.2
Sevoflurane Group10.4

[back to top]

Time to Clear Consciousness

"Clear consciousness means that patients responded to investigator's command for physical movement such as hold my finger tight." (NCT00762372)
Timeframe: Day 1 (Post-Surgery, from awakening to before extubation)

Interventionminutes (Mean)
BLM-240 Group7.7
BLM-240 N2O Group8.1
BLM-240 O2 Group6.9
Sevoflurane Group12.3

[back to top]

Time to Extubation

Evaluation of Awakening/Recovery from Anesthesia from end of study drug inhalation to extubation. The patient was extubated when the following signs were observed:(1) clear consciousness, (2) ability to breathe spontaneously (minute ventilation >=50 mL/kg/min), and (3) stable circulatory dynamics (systolic pressure: >=100 mmHg). (NCT00762372)
Timeframe: Day 1 (Post-Surgery, from end of study drug inhalation to extubation)

Interventionminutes (Mean)
BLM-240 Group9.8
BLM-240 N2O Group10.1
BLM-240 O2 Group9.3
Sevoflurane Group14.8

[back to top]

Time to Reaching an Aldrete Score >=8 (Min)

Score includes a ranking of 0-2 (higher shows improvement) in activity, respiration, circulation, consciousness, and O2 saturation (SpO2). After extubation, the investigator observed the patient's condition every 5 minutes until the Aldrete score reached >=8 and recorded the Aldrete scores at 5-minute intervals. (NCT00762372)
Timeframe: Day 1 (Post-Surgery, after extubation)

Interventionminutes (Mean)
BLM-240 Group13.6
BLM-240 N2O Group13.9
BLM-240 O2 Group13.1
Sevoflurane Group18.7

[back to top]

Time to Stating Birth Date

After extubation, the investigator called and asked the patient to state the birth date once every minute and recorded the time the patient could state the birth date. Time from the end of study drug inhalation. (NCT00762372)
Timeframe: Day 1 (Post-Surgery, after extubation)

Interventionminutes (Mean)
BLM-240 Group11.4
BLM-240 N2O Group11.8
BLM-240 O2 Group10.6
Sevoflurane Group16.2

[back to top]

Changes in Bispectral Index (BIS) Over Time During Anethetic Maintenance

BIS is used to monitor depth of anesthesia. The BIS monitor provides a single number, which ranges from 0 (equivalent to EEG silence) to 100. A BIS value between 40 and 60 generally indicates an appropriate level for general anesthesia. (NCT00762372)
Timeframe: Day 1 (During surgery, duration ranging <2 hours, 2-4 hours, and ≥4 hours)

,,
Interventionscore on a scale (Mean)
Prior to start of inhalationEnd of inhalationAfter AwakeningBefore Extubation5 minutes after extubation
BLM-240 N2O Group50.746.384.890.193.5
BLM-240 O2 Group48.657.388.290.895.2
Sevoflurane Group49.848.887.490.993.4

[back to top]

Number of Participants Not Receiving Rescue Treatment Whose Blood Pressure/Heart Rate Maintained Above/Below 70%

"Rescue medication includes vasopressors and depressors. Percentage of observation points at which systolic pressure 80 to <150 mmHg and heart rate 50 to <100 bpm could be maintained " (NCT00762372)
Timeframe: Day 1 (During surgery, duration ranging <2 hours, 2-4 hours, and ≥4 hours)

,,,
Interventionparticipants (Number)
>=70%<70%
BLM-240 Group1119
BLM-240 N2O Group687
BLM-240 O2 Group432
Sevoflurane Group313

[back to top]

Number of Participants Receiving Rescue Treatment Whose Blood Pressure/Heart Rate Maintained Above/Below 70%

Rescue medication includes vasopressors and depressors. Percentage of observation points at which no rescue treatment was judged to be required based on blood pressure/heart rate (NCT00762372)
Timeframe: Day 1 (During surgery, duration ranging <2 hours, 2-4 hours, and ≥4 hours)

,,,
Interventionparticipants (Number)
>=70%<70%
BLM-240 Group460
BLM-240 N2O Group360
BLM-240 O2 Group100
Sevoflurane Group160

[back to top]

Number of Participants Requiring Rescue Treatment During Anesthetic Maintenance

Rescue medication includes vasopressors and depressors. (NCT00762372)
Timeframe: Day 1 (During surgery, duration ranging <2 hours, 2-4 hours, and ≥4 hours)

,,,
Interventionparticipants (Number)
NoYes
BLM-240 Group12046
BLM-240 N2O Group7536
BLM-240 O2 Group4510
Sevoflurane Group3416

[back to top]

Number of Participants With Body Movement During Anesthetic Maintenance

The investigator or sub-investigator observed the patient for body movement (excluding bucking) during anesthetic maintenance. (NCT00762372)
Timeframe: Day 1 (During surgery, duration ranging <2 hours, 2-4 hours, and ≥4 hours)

,,,
Interventionparticipants (Number)
NoYes
BLM-240 Group1651
BLM-240 N2O Group1110
BLM-240 O2 Group541
Sevoflurane Group500

[back to top]

Number of Participants With Recall/Memory Issues During Anesthetic Maintenance

The investigator or sub-investigator observed the patient for the presence or absence of awakening during anesthetic maintenance and interviewed the patient on the day after surgery to confirm whether the patient has any memory during anesthetic maintenance. (NCT00762372)
Timeframe: Day 1 (During surgery, duration ranging <2 hours, 2-4 hours, and ≥4 hours)

,,,
Interventionparticipants (Number)
NoYesUnevaluable
BLM-240 Group16501
BLM-240 N2O Group11001
BLM-240 O2 Group5500
Sevoflurane Group5000

[back to top]

Pain Measured on Verbal Scale of 0-10

Pain measured on verbal scale of 0-10, with 0 being absolutely no pain, and 10 being the worst pain in that subjects life. (NCT00983918)
Timeframe: 24 hours

Interventionunits on a scale (Mean)
Desflurane2.7
Sevoflurane1.7
Isoflurane3
Propofol2.1

[back to top]

Nausea and Vomiting

Patients were asked to rate their experience of nausea and vomiting on a 0-10 verbal analog scale, with 0 being absence and 10 being the worst imaginable (NCT01199237)
Timeframe: 30 minutes after T1

,
Interventionunits on a scale (Mean)
NauseaVomiting
Desflurane1.3590
Sevoflurane0.3850

[back to top]

Time From Potent Inhaled Anesthetic Discontinuation to First Response to Command (T1)

"At the conclusion of surgery, after the patient's potent inhaled anesthetic was discontinued, the commands open your eyes and squeeze my hand were given at 30-second intervals. The time at which patient first appropriately response to both commands was noted as T1." (NCT01199237)
Timeframe: Up to 1 hour post-operative

Interventionseconds (Mean)
Sevoflurane623
Desflurane343

[back to top]

Time From Anesthetic Discontinuation to First Ability to Swallow

At 2 minutes after first response to command (T1), the patient was asked to swallow 20 mL of water from a paper cup, and an observer blinded to anesthetic assignment assessed the ability to swallow based on transit of water to the posterior pharynx (absence of pooling or drooling) and absence of cough or gag (indicating misdirection of the water bolus into the laryngeal inlet). This test was repeated at 6, 14, 22, 30 and 60 minutes after the time of first response to command. (NCT01199237)
Timeframe: up to 60 minutes after T1

InterventionSeconds (Mean)
Sevoflurane1275
Desflurane718

[back to top]

Nausea and Vomiting

Patients were asked to rate their experience of nausea and vomiting on a 0-10 verbal analog scale, with 0 being absence and 10 being the worst imaginable (NCT01199237)
Timeframe: 60 minutes after T1

,
Interventionunits on a scale (Mean)
NauseaVomiting
Desflurane1.3330.026
Sevoflurane0.2630

[back to top]

Recovery of Ability to Swallow After Neostigmine/Glycopyrrolate Antagonism of Rocuronium Paralysis.

The patient is judged by the primary anesthetist to be awake at time T1. At 2 minutes after T1, the patient was asked to swallow 20mL of water from a paper cup, and a blinded observer judged the ability to swallow based on transit of water to the posterior pharynx (absence of pooling or drooling) and absence of cough or gag. (NCT01199237)
Timeframe: At 2 minutes after response to command (T1).

,
Interventionparticipants (Number)
able to swallow at T1+2 minutesunable to swallow at T1+2 minutes
Desflurane256
Sevoflurane1610

[back to top]

Time to Awakening

(NCT01202162)
Timeframe: Time inhalational agent is turned off to time of patient awakening

InterventionElapsed time in minutes (Median)
Desflurane6.8
Sevoflurane11.8

[back to top]

Quality of Recovery 40

Survey completion at 24 hours post surgery of the Quality of Recovery 40 questionnaire.This questionnaire asks 40 questions in 5 categories of recovery. The scores are combined from each group and are used as a composite score. The scores range from a low of 40 to a high of 200. A score of 40 would indicate a poor quality of recovery where as a score of 200 would be a good quality of recovery at 24 hours postoperative. (NCT01202162)
Timeframe: 1 day

Interventionscore (between 40 low-200 high) (Median)
Desflurane188
Sevoflurane182

[back to top]

Number of Participants Who Coughed

(NCT01202162)
Timeframe: Perioperative

Interventionparticipants (Number)
Desflurane4
Sevoflurane7

[back to top]

Incidence of Coughing at Extubation, Approximately 10 Minutes After End of Surgery

Effect of desflurane versus sevoflurane on the incidence of coughing at extubation using a standardized coughing scale (NCT01219881)
Timeframe: At extubation, approximately 10 minutes after end of surgery

InterventionParticipants (Count of Participants)
Desflurane10
Sevoflurane4

[back to top]

Difference in Time to Orientation

Difference in time to orientation as measured by Short Orientation Memory Concentration Test (SOMCT) between the desflurane group and the sevoflurane group (NCT01219881)
Timeframe: 14 Days

InterventionMinutes (Median)
Desflurane15
Sevoflurane15

[back to top]

Recovery Time

Recovery Time after exposure to desflurane or sevoflurane considering time of emergence from anesthesia (NCT01219881)
Timeframe: 14 Days

InterventionMinutes (Median)
Desflurane9
Sevoflurane20

[back to top]

Time to Extubation

Time from gas discontinuation to eye extubation after eye opening (NCT01219881)
Timeframe: 14 days

InterventionMinutes (Mean)
Desflurane5.0
Sevoflurane7.9

[back to top]

Trail Making Part B

Trail Making Test is an executive measure of sequencing and cognitive flexibility. Trail B is a more difficult cognitive flexibility task requiring the subject to follow a sequential pattern while shifting cognitive sets and reflects executive functioning, although other cognitive abilities, such as psychomotor speed and visual scanning, are necessary for successful completion of the task. The scoring for this test is the time in seconds required for completion of the test (NCT01270620)
Timeframe: Change > 20% from baseline to 48 hours after surgery

Interventionparticipants (Number)
Desflurane29
Propofol22

[back to top]

Troponin I

Patients who had troponin level > 0.2 ng/mL (NCT01270620)
Timeframe: 2 days

Interventionparticipants (Number)
Desflurane1
Propofol0

[back to top]

Duration of Anesthesia

(NCT01270620)
Timeframe: Time from induction to extubation

Interventionminutes (Median)
Desflurane137.5
Propofol133.5

[back to top]

Trail Making Part A

• Trail Making Test is an executive measure of sequencing and cognitive flexibility. Trail A requires the subject to rapidly sequence a straightforward series. The scoring for this test is the time in seconds required for completion of the test (NCT01270620)
Timeframe: Change > 20% from baseline to 6-8 hours after surgery

Interventionparticipants (Number)
Desflurane25
Propofol25

[back to top]

- Time to Eye Opening After Desflurane/Propofol Discontinuation

(NCT01270620)
Timeframe: first day

Interventionseconds (Median)
Desflurane420
Propofol395

[back to top]

- Time to Following Command After Desflurane/Propofol Discontinuation

(NCT01270620)
Timeframe: first day

Interventionseconds (Median)
Desflurane480
Propofol450

[back to top]

- Time to Spontaneous Breathing After Desflurane/Propofol Discontinuation

(NCT01270620)
Timeframe: first day

Interventionseconds (Median)
Desflurane270
Propofol300

[back to top]

- Time to Tracheal Extubation After Desflurane/Propofol Discontinuation

(NCT01270620)
Timeframe: first day

Interventionseconds (Median)
Desflurane420
Propofol526

[back to top]

Amount of Intraoperative Fentanyl

(NCT01270620)
Timeframe: From the anesthesia induction until extubation

Interventionmicrograms (Median)
Desflurane350
Propofol350

[back to top]

Assessment of Delirium

The primary end point was the incidence of postoperative delirium as measured by the Confusion Assessment Method (CAM). (NCT01270620)
Timeframe: 48 hours

Interventionparticipants (Number)
Desflurane0
Propofol0

[back to top]

B-type Natriuretic Peptide

(NCT01270620)
Timeframe: Change from Baseline to day one

Interventionng/L (Median)
Desflurane47
Propofol43

[back to top]

BNP

(NCT01270620)
Timeframe: Change form baseline to post-operative day 2

Interventionng/L (Median)
Desflurane83.5
Propofol92

[back to top]

Digit Symbol Substitution Test

• The Digit Symbol Substitution Test (DSST) measures attention, working memory, sustained visual attention and psychomotor speed. Subjects are given a table that pairs digits and symbols, and asked to decipher a code using the table, completing as many as possible in 90 seconds. The DSST has been found to be more sensitive than other tests to changes in high-levels of cognition (NCT01270620)
Timeframe: Change > 20% from baseline to 48 hours after surgery

Interventionparticipants (Number)
Desflurane24
Propofol16

[back to top]

Digit Symbol Substitution Test

• The Digit Symbol Substitution Test (DSST) measures attention, working memory, sustained visual attention and psychomotor speed. Subjects are given a table that pairs digits and symbols, and asked to decipher a code using the table, completing as many as possible in 90 seconds. The DSST has been found to be more sensitive than other tests to changes in high-levels of cognition (NCT01270620)
Timeframe: Change > 20% from baseline to 6-8 hours after surgery

Interventionparticipants (Number)
Desflurane22
Propofol17

[back to top]

Duration of Surgery

(NCT01270620)
Timeframe: Time from Incision to closure of surgery

Interventionminutes (Median)
Desflurane103.5
Propofol95

[back to top]

N-terminal proBNP

(NCT01270620)
Timeframe: Change from baseline to day one

Interventionng/L (Median)
Desflurane83
Propofol86

[back to top]

Nausea and Vomiting

(NCT01270620)
Timeframe: 48 hours

Interventionparticipants (Number)
Desflurane3
Propofol4

[back to top]

ProBNP

(NCT01270620)
Timeframe: Change from baseline to post-operative day 2

Interventionng/L (Median)
Desflurane330
Propofol311.5

[back to top]

Recall of Digit Span

• The Digit Span subtest of the Wechsler Adult Intelligence Scale-Revised is a test that requires subjects to repeat a series of digits that have been verbally presented to them both forward and, in a later independent test, reverse order. It measures attention and working memory (NCT01270620)
Timeframe: Change > 20% from baseline to 48 hours after surgery

Interventionparticipants (Number)
Desflurane10
Propofol9

[back to top]

Recall of Digit Span

• The Digit Span subtest of the Wechsler Adult Intelligence Scale-Revised is a test that requires subjects to repeat a series of digits that have been verbally presented to them both forward and, in a later independent test, reverse order. It measures attention and working memory (NCT01270620)
Timeframe: Change > 20% from baseline to 6-8 hours after surgery

Interventionparticipants (Number)
Desflurane11
Propofol8

[back to top]

Recovery Room Time

(NCT01270620)
Timeframe: first day

Interventionminutes (Median)
Desflurane65
Propofol60.5

[back to top]

Trail Making Part A

• Trail Making Test is an executive measure of sequencing and cognitive flexibility. Trail A requires the subject to rapidly sequence a straightforward series. The scoring for this test is the time in seconds required for completion of the test (NCT01270620)
Timeframe: Change > 20% from baseline to 48 hours after surgery

Interventionparticipants (Number)
Desflurane26
Propofol19

[back to top]

Trail Making Part B

• Trail Making Test is an executive measure of sequencing and cognitive flexibility. Trail B is a more difficult cognitive flexibility task requiring the subject to follow a sequential pattern while shifting cognitive sets and reflects executive functioning, although other cognitive abilities, such as psychomotor speed and visual scanning, are necessary for successful completion of the task. The scoring for this test is the time in seconds required for completion of the test (NCT01270620)
Timeframe: Change > 20% from baseline to 6-8 hours after surgery

Interventionparticipants (Number)
Desflurane29
Propofol22

[back to top]

Time to Opening of Eyes

(NCT01310582)
Timeframe: At 30-45 minutes, following discontinuation of volatile anesthetic at the end of surgery

Interventionseconds (Mean)
Desflurane391.2
Sevoflurane446.5

[back to top]

Time to Discharge From PACU

(NCT01310582)
Timeframe: At 30-45 minutes, following discontinuation of volatile anesthetic at the end of surgery and transfer to PACU

InterventionMinutes (Mean)
Desflurane95.0
Sevoflurane104.9

[back to top]

Regional Cerebral Oxygen Satuation (rSO2)

definitive values of regional cerebral oxygen saturation(rSO2,%) values are described as mean (SD) (NCT01436799)
Timeframe: 1, 3, 5, 7, and 9 min after the beach chair position

,
Interventionpercentage of rSO2 (%) (Mean)
1min after beach chair position3min after beach chair position5min after beach chair position7min after beach chair position9min after beach chair position
Desflurane77.47675.275.174
Propofol72.5707068.567.8

[back to top]

Latency of the SSEP's

SSEPs (somatosensory evoked potentials) are most commonly elicited by bipolar transcutaneous electrical stimulation applied on the skin over the trajectory of peripheral nerves of the upper limb (e.g., the median nerve) or lower limb (e.g., the posterior tibial nerve), and then recorded from the scalp. Latency is the time interval between the stimulation and response. (NCT01549873)
Timeframe: day of surgery

Interventionmilliseconds (Mean)
Total Intravenous Anesthesia (TIVA)27.6
Inhaled Anesthesia28.2

[back to top]

Amplitude Required to Elicit the MEP

Compare the data obtained from neuromonitoring including the amplitude required to elicit the MEP from patients receiving general anesthesia with an inhalational anesthetic agent to those receiving total intravenous anesthesia (TIVA). (NCT01549873)
Timeframe: at time of surgery

Interventionmilliamperes (Mean)
Total Intravenous Anesthesia (TIVA)307
Inhaled Anesthesia417

[back to top]

Amplitude of the SSEPs

SSEPs (somatosensory evoked potentials) are most commonly elicited by bipolar transcutaneous electrical stimulation applied on the skin over the trajectory of peripheral nerves of the upper limb (e.g., the median nerve) or lower limb (e.g., the posterior tibial nerve), and then recorded from the scalp. The amplitude is the voltage of the electrical stimulation recorded. (NCT01549873)
Timeframe: day of surgery

Interventionmicrovolt (Mean)
Total Intravenous Anesthesia (TIVA)0.83
Inhaled Anesthesia0.84

[back to top]

The Time From the End of Anesthesia to Extubation

When surgery ends, the fresh gas flow rate will be increased to 6L/min (100% oxygen). Patients will be asked to open eyes by touching the shoulder, calling the name every 15 seconds. Patients will be applied stimulus every 15 seconds until following commands. Extubation will be performed when the patient is judged to be awake and spontaneous breathing recovery substantially. (NCT01700907)
Timeframe: Within 60 minutes after the end of anesthesia

Interventionsecond (Median)
Group DES329.0
Group SEVO636.0

[back to top]

The Time From the End of Anesthesia to Eye Opening

When surgery ends, the fresh gas flow rate will be increased to 6L/min (100% oxygen). Patients will be asked to open eyes by touching the shoulder, calling the name every 15 seconds. Patients will be applied stimulus every 15 seconds until following commands. Extubation will be performed when the patient is judged to be awake and spontaneous breathing recovery substantially. (NCT01700907)
Timeframe: Within 60 minutes after the end of anesthesia

Interventionsecond (Median)
Group DES176.5
Group SEVO315.0

[back to top]

The Time From the End of Anesthesia to Following Commands

When surgery ends, the fresh gas flow rate will be increased to 6L/min (100% oxygen). Patients will be asked to open eyes by touching the shoulder, calling the name every 15 seconds. Patients will be applied stimulus every 15 seconds until following commands. Extubation will be performed when the patient is judged to be awake and spontaneous breathing recovery substantially. (NCT01700907)
Timeframe: Within 60 minutes after the end of anesthesia

Interventionsecond (Median)
Group DES246.5
Group SEVO424.0

[back to top]

Cognitive Function

Cognitive function will be measured by MMSE (Mini-Mental State Examination) at 24hrs pre and postoperatively. Total MMSE score is recorded by interview ranging from 0 (minimum) to 30 (maximum). MMSE score is consisted on 11 subscales, and total MMSE score is simply summation of all the subscale scores. Maximum MMSE score indicates that the patient is excellent for cognitive function. MMSE score under 26 indicated the cognitive dysfunction. (NCT01700907)
Timeframe: 24 hrs pre and postoperatively

,
InterventionScores on a scale (Median)
pre-operationpost-operation
Group DES28.029.5
Group SEVO28.029.0

[back to top]

The Incidence of Postoperative Delirium

The incidence of post operative delirium will be measured by Confusion Assessment Method (CAM) at baseline, 15mins, 3hrs, 6hrs, 12hrs, 24hrs, 48hrs postoperatively. (NCT01700907)
Timeframe: from 15 minutes to 48 hrs postoperatively

Interventionparticipants (Number)
Group DES2
Group SEVO0

[back to top]

The Incidence of Emergence Agitation Using Four-point Categorical Scale

The outcomes assessor will evaluate the severity of emergence agitation of participants using a four-point categorical scale. (1: calm, 2: not calm, but could be easily calmed, 3: moderately agitated or restless, 4: combative, excited, disoriented) We considered presence of emergence agitation as 3 and 4 of four-point scale. (NCT01878656)
Timeframe: Participants will be followed from the time of gas discontinuation in operating room to the time of discharge from postanesthesia care unit(PACU), an expected average of 1 hour.

Interventionparticipants (Number)
Sevoflurane51
Desflurane17

[back to top]

Awakening Time

The outcomes assessor will record from the time of extubation in operating room to the time of eye opening and mouth opening (NCT01924871)
Timeframe: Participants will be followed from the time of extubation in operating room to the time of discharge from recovery room, an expected average of 1day.

Interventionminutes (Median)
Desflurane Group10
Desflurane With Remifentanil Group7

[back to top]

Effect of Pulse Train Length on Transcranial Motor Evoked Potentials (TcMEP) Area Under Total Intravenous Anesthesia (TIVA) and TIVA Plus 3% Desflurane

A series of 15 transcranial motor evoked potentials are recorded under a TIVA anesthetic and again after addition of 3% desflurane for 5 minutes at two different time points in a surgical procedure. The series consisted of 3 runs of 5,6, 7, 8, and 9 pulse trains, each train separated by 30 seconds. The 3 runs were averaged to give and average value of TcMEP amplitude and area for the 5,6,7,8 and 9 pulse trains. The data were used to compute regression coefficients for area vs pulse length for the TIVA case and TIVA plus desflurane for each participant who completed the study..The final measure is the number of participants who had a MEP area ratios significantly different from 1 at all times and conditions; that is for TIVA alone and TIVA plus desflurane, at both time points. (NCT02199314)
Timeframe: 15 minutes

InterventionParticipants (Count of Participants)
MEPs Pre and Post Desflurane at 2 Time Points2

[back to top]

The Number of Prophylactic Interventions for PONV

the absolute number of prophylactic interventions applied between the admission of the patient in the holding room until admission to the PACU. (NCT02625181)
Timeframe: A specific time frame on the day of surgery: from the start of admission at the holding room to the end of the anesthetic case

Interventionprophylactic antiemetics administered (Mean)
Baseline Measurement2.196
CDS Email Recommendations2.176
CDS Email + Real TIme Recommenations2.129

[back to top]

Adherence to PONV Guidelines

PONV guideline adherence: percentage of patients who received the exact number of prophylactic interventions for PONV that were recommended by the decision support. (NCT02625181)
Timeframe: A specific time frame on the day of surgery: the start of admission at the holding room to the end of the anesthetic case

InterventionParticipants (Count of Participants)
Baseline Measurement666
CDS Email Recommendations5260
CDS Email + Real TIme Recommenations5863

[back to top]

PONV Incidence: Number of Participants With Postoperative Nausea and Vomiting

The occurrence of PONV, as defined by the administration of antiemetics in the PACU between admission to PACU and discharge from PACU. (NCT02625181)
Timeframe: PACU recovery period

InterventionParticipants (Count of Participants)
Baseline Measurement139
CDS Email Recommendations1323
CDS Email + Real TIme Recommenations1343

[back to top]

Time to Discharge From the Postanesthesia Care Unit (PACU)

This is the number of minutes from admission to the PACU until discharge, assessed up to 2 days (NCT02625181)
Timeframe: A specific time frame on the day of surgery: from the start of admission to the PACU to discharge from the PACU

Interventionminutes (Mean)
Baseline Measurement266
CDS Email Recommendations264
CDS Email + Real TIme Recommenations266

[back to top]

Extubation Time

Time from anesthetic discontinuation to endotracheal tube cuff deflation (NCT02631525)
Timeframe: Time from anesthetic discontinuation to endotracheal tube cuff deflation

Interventionminutes (Mean)
REM-PRO9.5
REM-DES6.2

[back to top]

Efficacy in Detecting Subtle Intraoperative VEP Changes Using SightSaver Visual Stimulator During Spine Prone Surgeries Under Balanced General Anesthesia Versus TIVA.

Number of Participants with Subtle Intraoperative VEP Changes Observed Using SightSaver Visual Stimulator During Spine Prone Surgeries Under Balanced General Anesthesia Versus TIVA (NCT02643615)
Timeframe: VEP waveforms recorded every 30 minutes during the entire procedure for up to 6 hours.

InterventionParticipants (Count of Participants)
VEP Under TIVA1
VEP Under Balanced Anesthesia1

[back to top]

The Difference in VEP Changes in Amplitude Among Both Groups

The difference in VEP changes in amplitude with a single and double stimuli using the SightSaver visual stimulator under balanced general anesthesia versus TIVA. (NCT02643615)
Timeframe: every 30 minutes during the entire procedure for up to 6 hours

Interventionmilliseconds (ms) (Mean)
VEP Under TIVA14.21
VEP Under Balanced Anesthesia17.94

[back to top]

The Difference in VEP Changes in Amplitude Among Both Groups

VEP waveforms were evaluated using either present baseline - reproducible positive-negative-positive complex of substantial amplitude (≥2 µV) that appeared 100-200 ms after pulse stimulus onset; marginal Baseline - low amplitude (<2 µV) reproducible P100 waveform; or absent baseline - no repeatable response present. Any activity of <0.5 µV was not considered a response. Best derivation for each particular patient was used for monitoring electroretinogram (ERG) recording and confirming the stimulation. (NCT02643615)
Timeframe: Every 30 minutes during surgery for up to 6 hours

Interventionmicorvolts (µV) (Median)
VEP Under TIVA0.66
VEP Under Balanced Anesthesia0.48

[back to top]

Safety of Using SightSaver Visual Stimulator During Spine Prone Surgeries Under Balanced General Anesthesia Versus TIVA

Number of participants experiencing adverse events related to the study procedures during prone surgery and 24 hours after surgery under balanced general anesthesia versus TIVA (NCT02643615)
Timeframe: From start of surgery up to 24 hours after surgery

InterventionParticipants (Count of Participants)
VEP Under TIVA0
VEP Under Balanced Anesthesia1

[back to top]

Incidence of a MAP < 50 mmHg for > 20 Minutes

Incidence of a mean arterial pressure (MAP) < 50 mmHg for a cumulative duration of all hypotensive episodes of more than 20 minutes during the anesthetic phase of the procedure. (NCT02726620)
Timeframe: During the anesthetic phase of the surgical procedure: an expected average of 2.5 hours

InterventionParticipants (Count of Participants)
Usual Care Group304
Hypotension Decision Support85

[back to top]

Incidence of a MAP < 55 mmHg

Incidence of a mean arterial pressure (MAP) < 55 mmHg during anesthesia for 1 minute or more. (NCT02726620)
Timeframe: During the anesthetic phase of the surgical procedure: an expected average of 2.5 hours

InterventionParticipants (Count of Participants)
Usual Care Group10991
Hypotension Decision Support3045

[back to top]

Incidence of a MAP < 55 mmHg for > 10 Minutes

Incidence of a mean arterial pressure (MAP) < 55 mmHg for a cumulative duration of all hypotensive episodes of more than 10 minutes during the anesthetic phase of the procedure. (NCT02726620)
Timeframe: During the anesthetic phase of the surgical procedure: an expected average of 2.5 hours

InterventionParticipants (Count of Participants)
Usual Care Group3181
Hypotension Decision Support759

[back to top]

Incidence of a MAP < 55 mmHg for > 20 Minutes

Incidence of a mean arterial pressure (MAP) < 55 mmHg for a cumulative duration of all hypotensive episodes of more than 20 minutes during the anesthetic phase of the procedure. (NCT02726620)
Timeframe: During the anesthetic phase of the surgical procedure: an expected average of 2.5 hours

InterventionParticipants (Count of Participants)
Usual Care Group1223
Hypotension Decision Support284

[back to top]

Incidence of a MAP < 60 mmHg

Incidence of a mean arterial pressure (MAP) < 60 mmHg during anesthesia for 1 minute or more. (NCT02726620)
Timeframe: During the anesthetic phase of the surgical procedure: an expected average of 2.5 hours

InterventionParticipants (Count of Participants)
Usual Care Group13779
Hypotension Decision Support3798

[back to top]

Incidence of a MAP < 60 mmHg for > 10 Minutes

Incidence of a mean arterial pressure (MAP) < 60 mmHg for a cumulative duration of all hypotensive episodes of more than 10 minutes during the anesthetic phase of the procedure. (NCT02726620)
Timeframe: During the anesthetic phase of the surgical procedure: an expected average of 2.5 hours

InterventionParticipants (Count of Participants)
Usual Care Group6989
Hypotension Decision Support1723

[back to top]

Incidence of a MAP < 60 mmHg for > 20 Minutes

Incidence of a mean arterial pressure (MAP) < 60 mmHg for a cumulative duration of all hypotensive episodes of more than 20 minutes during the anesthetic phase of the procedure. (NCT02726620)
Timeframe: During the anesthetic phase of the surgical procedure: an expected average of 2.5 hours

InterventionParticipants (Count of Participants)
Usual Care Group3632
Hypotension Decision Support792

[back to top]

Intraoperative Administration of Intravenous Fluids

Total amount (mL) of intravenous fluids (as defined under interventions) administered during the surgical procedure. (NCT02726620)
Timeframe: During the anesthetic phase of the surgical procedure: an expected average of 2.5 hours

InterventionmL (Median)
Usual Care Group1500.00
Hypotension Decision Support1400.00

[back to top]

Intravenous Anesthetic Drug Use During Intraoperative Hypotension: MAP < 50 mmHg

Average concentrations of propofol infusion rates during MAP < 50 mmHg episodes (NCT02726620)
Timeframe: During the anesthetic phase of the surgical procedure: an expected average of 2.5 hours

Interventionmcg/kg/min (propofol) (Median)
Usual Care Group65.00
Hypotension Decision Support50.00

[back to top]

Intravenous Anesthetic Drug Use During Intraoperative Hypotension: MAP < 55 mmHg

Average concentrations of propofol infusion rates during MAP < 55 mmHg episodes (NCT02726620)
Timeframe: During the anesthetic phase of the surgical procedure: an expected average of 2.5 hours

Interventionmcg/kg/min (propofol) (Median)
Usual Care Group63.95
Hypotension Decision Support50.00

[back to top]

Intravenous Anesthetic Drug Use During Intraoperative Hypotension: MAP < 60 mmHg

Average concentrations of propofol infusion rates during MAP < 60 mmHg episodes (NCT02726620)
Timeframe: During the anesthetic phase of the surgical procedure: an expected average of 2.5 hours

Interventionmcg/kg/min (propofol) (Median)
Usual Care Group61.07
Hypotension Decision Support50.00

[back to top]

Intravenous Anesthetic Drug Use During Intraoperative Hypotension: MAP < 65 mmHg

Average concentrations of propofol infusion rates during MAP < 65 mmHg episodes (NCT02726620)
Timeframe: During the anesthetic phase of the surgical procedure: an expected average of 2.5 hours

Interventionmcg/kg/min (propofol) (Median)
Usual Care Group60.10
Hypotension Decision Support48.59

[back to top]

Postoperative Rise in Creatinine Levels

Absolute values for serum creatinine before and after surgery will be compared. When multiple postoperative creatinine measurements are made, the maximum difference is reported. (NCT02726620)
Timeframe: Within 7 days after surgery

Interventionmg/dL (Median)
Usual Care Group0.00
Hypotension Decision Support0.00

[back to top]

Time to Discharge Readiness at the Postanesthesia Care Unit (PACU)

The time from arriving at the postanesthesia care unit (PACU) until the time the patient is considered ready for discharge (in minutes). (NCT02726620)
Timeframe: A specific time frame on the day of surgery: from the start of admission to the PACU to discharge from the PACU, an expected average of 4 hours

Interventionminutes (Median)
Usual Care Group67
Hypotension Decision Support60

[back to top]

Timing of Cardiovascular Drugs for MAP < 50 mmHg

Cardiovascular drugs as defined under interventions. Time of first administration of cardiovascular drug relative to the time at which the mean arterial pressure (MAP) drops below 50 mmHg. Per patient the average time to first administration of all hypotensive episodes was calculated. That average time is used as the outcome variable. A negative value indicates that administration occurred before the drop in MAP. (NCT02726620)
Timeframe: During the anesthetic phase of the surgical procedure: an expected average of 2.5 hours

Interventionminutes (Median)
Usual Care Group1
Hypotension Decision Support0

[back to top]

Timing of Cardiovascular Drugs for MAP < 55 mmHg

Cardiovascular drugs as defined under interventions. Time of first administration of cardiovascular drug relative to the time at which the mean arterial pressure (MAP) drops below 55 mmHg. Per patient the average time to first administration of all hypotensive episodes was calculated. That average time is used as the outcome variable. A negative value indicates that administration occurred before the drop in MAP. (NCT02726620)
Timeframe: During the anesthetic phase of the surgical procedure: an expected average of 2.5 hours

Interventionminutes (Median)
Usual Care Group1
Hypotension Decision Support0.5

[back to top]

Timing of Cardiovascular Drugs for MAP < 60 mmHg

Cardiovascular drugs as defined under interventions. Time of first administration of cardiovascular drug relative to the time at which the mean arterial pressure (MAP) drops below 60 mmHg. Per patient the average time to first administration of all hypotensive episodes was calculated. That average time is used as the outcome variable. A negative value indicates that administration occurred before the drop in MAP. (NCT02726620)
Timeframe: During the anesthetic phase of the surgical procedure: an expected average of 2.5 hours

Interventionminutes (Median)
Usual Care Group0.8
Hypotension Decision Support1.5

[back to top]

Timing of Cardiovascular Drugs for MAP < 65 mmHg

Cardiovascular drugs as defined under interventions. Time of first administration of cardiovascular drug relative to the time at which the mean arterial pressure (MAP) drops below 60 mmHg. Per patient the average time to first administration of all hypotensive episodes was calculated. That average time is used as the outcome variable. A negative value indicates that administration occurred before the drop in MAP. (NCT02726620)
Timeframe: During the anesthetic phase of the surgical procedure: an expected average of 2.5 hours

Interventionminutes (Median)
Usual Care Group2
Hypotension Decision Support1.14

[back to top]

Usage Frequency of Cardiovascular Drugs: Ephedrine

Cardiovascular drugs as defined under interventions. Frequency of patients receiving the drug. Cardiovascular drugs that were given in <1% of cases are not reported. (NCT02726620)
Timeframe: During the anesthetic phase of the surgical procedure: an expected average of 2.5 hours

InterventionParticipants (Count of Participants)
Usual Care Group9310
Hypotension Decision Support2718

[back to top]

Usage Frequency of Cardiovascular Drugs: Ephinephrine

Cardiovascular drugs as defined under interventions. Frequency of patients receiving the drug. Cardiovascular drugs that were given in <1% of cases are not reported. (NCT02726620)
Timeframe: During the anesthetic phase of the surgical procedure: an expected average of 2.5 hours

InterventionParticipants (Count of Participants)
Usual Care Group1215
Hypotension Decision Support409

[back to top]

Usage Frequency of Cardiovascular Drugs: Glycopyrrolate

Cardiovascular drugs as defined under interventions. Frequency of patients receiving the drug. Cardiovascular drugs that were given in <1% of cases are not reported. (NCT02726620)
Timeframe: During the anesthetic phase of the surgical procedure: an expected average of 2.5 hours

InterventionParticipants (Count of Participants)
Usual Care Group11093
Hypotension Decision Support1257

[back to top]

Usage Frequency of Cardiovascular Drugs: Norepinephrine

Cardiovascular drugs as defined under interventions. Frequency of patients receiving the drug. Cardiovascular drugs that were given in <1% of cases are not reported. (NCT02726620)
Timeframe: During the anesthetic phase of the surgical procedure: an expected average of 2.5 hours

InterventionParticipants (Count of Participants)
Usual Care Group762
Hypotension Decision Support233

[back to top]

Usage Frequency of Cardiovascular Drugs: Phenylephrine

Cardiovascular drugs as defined under interventions. Frequency of patients receiving the drug. Cardiovascular drugs that were given in <1% of cases are not reported. (NCT02726620)
Timeframe: During the anesthetic phase of the surgical procedure: an expected average of 2.5 hours

InterventionParticipants (Count of Participants)
Usual Care Group12211
Hypotension Decision Support3685

[back to top]

Inhaled Anesthetic Drug Use During Intraoperative Hypotension: MAP < 50 mmHg

Average concentrations of inhalational anesthesia during MAP < 50 mmHg episodes (NCT02726620)
Timeframe: During the anesthetic phase of the surgical procedure: an expected average of 2.5 hours

,
InterventionEndTidal% (other) (Median)
Sevoflurane (EndTidal %)Isoflurane (EndTidal %)Desflurane (EndTidal %)
Hypotension Decision Support1.230.654.70
Usual Care Group1.320.654.28

[back to top]

Inhaled Anesthetic Drug Use During Intraoperative Hypotension: MAP < 55 mmHg

Average concentrations of inhalational anesthesia during MAP < 55 mmHg episodes (NCT02726620)
Timeframe: During the anesthetic phase of the surgical procedure: an expected average of 2.5 hours

,
InterventionEndTidal% (other) (Median)
Sevoflurane (EndTidal %)Isoflurane (EndTidal %)Desflurane (EndTidal %)
Hypotension Decision Support1.250.674.65
Usual Care Group1.340.684.60

[back to top]

Inhaled Anesthetic Drug Use During Intraoperative Hypotension: MAP < 60 mmHg

Average concentrations of inhalational anesthesia during MAP < 60 mmHg episodes (NCT02726620)
Timeframe: During the anesthetic phase of the surgical procedure: an expected average of 2.5 hours

,
InterventionEndTidal% (other) (Median)
Sevoflurane (EndTidal %)Isoflurane (EndTidal %)Desflurane (EndTidal %)
Hypotension Decision Support1.250.672.33
Usual Care Group1.350.684.36

[back to top]

Inhaled Anesthetic Drug Use During Intraoperative Hypotension: MAP < 65 mmHg

Average concentrations of inhalational anesthesia during MAP < 65 mmHg episodes (NCT02726620)
Timeframe: During the anesthetic phase of the surgical procedure: an expected average of 2.5 hours

,
InterventionEndTidal% (other) (Median)
Sevoflurane (EndTidal %)Isoflurane (EndTidal %)Desflurane (EndTidal %)
Hypotension Decision Support1.270.682.31
Usual Care Group1.350.684.10

[back to top]

Depth and Duration of Intraoperative Hypotension - Threshold MAP 70 mmHg

Depth and duration of intraoperative hypotension will be modeled by calculating areas under the threshold for mean arterial pressures (MAPs). Thresholds will vary from 75 mmHg to 50 mmHg in 5 mmHg decrements. Together these variables represent the depth and duration of intraoperative hypotension. To optimize goodness of fit of these variables, the decremental steps may be increased to 10 mmHg and more restrictive lowest and highest thresholds may be chosen for the statistical analysis. (NCT02726620)
Timeframe: During the anesthetic phase of the surgical procedure: an expected average of 2.5 hours

InterventionmmHg*minute (Median)
Usual Care Group273
Hypotension Decision Support235

[back to top]

Depth and Duration of Intraoperative Hypotension - Threshold MAP 65 mmHg

Depth and duration of intraoperative hypotension will be modeled by calculating areas under the threshold for mean arterial pressures (MAPs). Thresholds will vary from 75 mmHg to 50 mmHg in 5 mmHg decrements. Together these variables represent the depth and duration of intraoperative hypotension. To optimize goodness of fit of these variables, the decremental steps may be increased to 10 mmHg and more restrictive lowest and highest thresholds may be chosen for the statistical analysis. (NCT02726620)
Timeframe: During the anesthetic phase of the surgical procedure: an expected average of 2.5 hours

InterventionmmHg*minute (Median)
Usual Care Group96
Hypotension Decision Support86

[back to top]

Depth and Duration of Intraoperative Hypotension - Threshold MAP 60 mmHg

Depth and duration of intraoperative hypotension will be modeled by calculating areas under the threshold for mean arterial pressures (MAPs). Thresholds will vary from 75 mmHg to 50 mmHg in 5 mmHg decrements. Together these variables represent the depth and duration of intraoperative hypotension. To optimize goodness of fit of these variables, the decremental steps may be increased to 10 mmHg and more restrictive lowest and highest thresholds may be chosen for the statistical analysis. (NCT02726620)
Timeframe: During the anesthetic phase of the surgical procedure: an expected average of 2.5 hours

InterventionmmHg*minute (Median)
Usual Care Group57
Hypotension Decision Support52

[back to top]

Estimated Intraoperative Blood Loss

The estimated blood loss in mL during the surgical procedure (NCT02726620)
Timeframe: During the surgical procedure: an expected average of 2 hours

InterventionmL (Median)
Usual Care Group100
Hypotension Decision Support75

[back to top]

Depth and Duration of Intraoperative Hypotension - Threshold MAP 55 mmHg

Depth and duration of intraoperative hypotension will be modeled by calculating areas under the threshold for mean arterial pressures (MAPs). Thresholds will vary from 75 mmHg to 50 mmHg in 5 mmHg decrements. Together these variables represent the depth and duration of intraoperative hypotension. To optimize goodness of fit of these variables, the decremental steps may be increased to 10 mmHg and more restrictive lowest and highest thresholds may be chosen for the statistical analysis. (NCT02726620)
Timeframe: During the anesthetic phase of the surgical procedure: an expected average of 2.5 hours

InterventionmmHg*minute (Median)
Usual Care Group23
Hypotension Decision Support23

[back to top]

In-hospital Mortality

Hospital mortality rate during a single hospital admission after the surgery (NCT02726620)
Timeframe: All postoperative days during a single hospital admission, expected median of 5 days

InterventionParticipants (Count of Participants)
Usual Care Group487
Hypotension Decision Support137

[back to top]

Incidence of a MAP < 50 mmHg

Incidence of a mean arterial pressure (MAP) < 50 mmHg during anesthesia for 1 minute or more. (NCT02726620)
Timeframe: During the anesthetic phase of the surgical procedure: an expected average of 2.5 hours

InterventionParticipants (Count of Participants)
Usual Care Group7781
Hypotension Decision Support2196

[back to top]

30-day Mortality

Vanderbilt University Medical Center: combination of in-hospital mortality and 'alive-index' (which checks for visits to the hospital in the electronic healthcare record as indication of being alive at 30 days) (NCT02726620)
Timeframe: 30 days after surgery

InterventionParticipants (Count of Participants)
Usual Care Group511
Hypotension Decision Support143

[back to top]

Depth and Duration of Intraoperative Hypotension - Threshold MAP 50 mmHg

Depth and duration of intraoperative hypotension will be modeled by calculating areas under the threshold for mean arterial pressures (MAPs). Thresholds will vary from 75 mmHg to 50 mmHg in 5 mmHg decrements. Together these variables represent the depth and duration of intraoperative hypotension. To optimize goodness of fit of these variables, the decremental steps may be increased to 10 mmHg and more restrictive lowest and highest thresholds may be chosen for the statistical analysis. (NCT02726620)
Timeframe: During the anesthetic phase of the surgical procedure: an expected average of 2.5 hours

InterventionmmHg*minute (Median)
Usual Care Group19
Hypotension Decision Support19

[back to top]

Average Use of Cardiovascular Drugs: Phenylephrine

Cardiovascular drugs as defined under interventions. Average use for each drug will be calculated. Cardiovascular drugs that were given in <1% of cases are not reported, as the average dosage would be meaningless. (NCT02726620)
Timeframe: During the anesthetic phase of the surgical procedure: an expected average of 2.5 hours

Interventionmg (Median)
Usual Care Group0.90
Hypotension Decision Support1.30

[back to top]

Average Use of Cardiovascular Drugs: Norepinephrine

Cardiovascular drugs as defined under interventions. Average use for each drug will be calculated. Cardiovascular drugs that were given in <1% of cases are not reported, as the average dosage would be meaningless. (NCT02726620)
Timeframe: During the anesthetic phase of the surgical procedure: an expected average of 2.5 hours

Interventionmg (Median)
Usual Care Group0.62
Hypotension Decision Support0.70

[back to top]

Average Use of Cardiovascular Drugs: Glycopyrrolate

Cardiovascular drugs as defined under interventions. Average use for each drug will be calculated. Cardiovascular drugs that were given in <1% of cases are not reported, as the average dosage would be meaningless. (NCT02726620)
Timeframe: During the anesthetic phase of the surgical procedure: an expected average of 2.5 hours

Interventionmg (Median)
Usual Care Group0.40
Hypotension Decision Support0.40

[back to top]

Average Use of Cardiovascular Drugs: Epinephrine

Cardiovascular drugs as defined under interventions. Average use for each drug will be calculated. Cardiovascular drugs that were given in <1% of cases are not reported, as the average dosage would be meaningless. (NCT02726620)
Timeframe: During the anesthetic phase of the surgical procedure: an expected average of 2.5 hours

Interventionmg (Median)
Usual Care Group1.00
Hypotension Decision Support0.70

[back to top]

Average Use of Cardiovascular Drugs: Ephedrine

Cardiovascular drugs as defined under interventions. Average use for each drug will be calculated. Cardiovascular drugs that were given in <1% of cases are not reported, as the average dosages would be meaningless. (NCT02726620)
Timeframe: During the anesthetic phase of the surgical procedure: an expected average of 2.5 hours

Interventionmg (Median)
Usual Care Group20
Hypotension Decision Support15

[back to top]

Depth and Duration of Intraoperative Hypotension - Threshold MAP 75 mmHg

Depth and duration of intraoperative hypotension will be modeled by calculating areas under the threshold for mean arterial pressures (MAPs). Thresholds will vary from 75 mmHg to 50 mmHg in 5 mmHg decrements. Together these variables represent the depth and duration of intraoperative hypotension. To optimize goodness of fit of these variables, the decremental steps may be increased to 10 mmHg and more restrictive lowest and highest thresholds may be chosen for the statistical analysis. (NCT02726620)
Timeframe: During the anesthetic phase of the surgical procedure: an expected average of 2.5 hours

InterventionmmHg*minute (Median)
Usual Care Group485
Hypotension Decision Support417

[back to top]

Incidence of a MAP < 50 mmHg for > 10 Minutes

Incidence of a mean arterial pressure (MAP) < 50 mmHg for a cumulative duration of all hypotensive episodes of more than 10 minutes during the anesthetic phase of the procedure. (NCT02726620)
Timeframe: During the anesthetic phase of the surgical procedure: an expected average of 2.5 hours

InterventionParticipants (Count of Participants)
Usual Care Group1159
Hypotension Decision Support326

[back to top]

Extubation Time

compare the extubation time between sevoflurane and desflurane group (NCT02916407)
Timeframe: 30 minutes

Interventionseconds (Mean)
Sevoflurane Group756.3
Desflurane Group425.9

[back to top]

Degree of Postoperative Agitation

"Postoperative agitation will measure using Pediatric Anesthesia Emergence Delirium (PAED) scale. PAED scale is (1) The child makes eye contact with the caregiver (2) The child's action are purposeful (3) The child is aware of his/her surrounding (4) The child is restless (5) The child is inconsolable. It scores 0-4, and total maximum score is 20.~PAED score > 12 was used to determine occurence of postoperative agitation." (NCT02916407)
Timeframe: 30 minutes

Interventionunits on a scale (Median)
Sevoflurane Group15
Desflurane Group10

[back to top]

CAM-S Delirium Severity Score With Isoflurane and Desflurane

Comparison of CAM-S delirium severity score with isoflurane and desflurane. CAM-S delirium severity score ranges from 0 to 19 ( 0 being best outcome and 19 being worst outcome). (NCT02925611)
Timeframe: 72 hours post surgery

Interventionunits on a scale (Median)
Isoflurane0.5
Desflurane0.5

[back to top]

Post Operative Pain Scores With Isoflurane and Desflurane

Comparison of postoperative pain scores (measured by numerical rating score) with by isoflurane and desflurane. The numerical rating score ranges from 0 to 10 (0 being no pain and 10 being maximum subjective pain). (NCT02925611)
Timeframe: 24 hours post surgery

Interventionunits on a scale (Median)
Isoflurane3.5
Desflurane4.5

[back to top]

Post Operative Pain Scores With Isoflurane and Desflurane

Comparison of postoperative pain scores (measured by numerical rating score) with by isoflurane and desflurane. The numerical rating score ranges from 0 to 10 (0 being no pain and 10 being maximum subjective pain). (NCT02925611)
Timeframe: 72 hours post surgery

Interventionunits on a scale (Median)
Isoflurane1.5
Desflurane2.5

[back to top]

CAM-S Delirium Severity Score With Isoflurane and Desflurane

Comparison of CAM-S delirium severity score with isoflurane and desflurane. CAM-S delirium severity score ranges from 0 to 19 ( 0 being best outcome and 19 being worst outcome). (NCT02925611)
Timeframe: 24 hours post surgery

Interventionunits on a scale (Median)
Isoflurane1.5
Desflurane1

[back to top]

The Intra-operative Mean Arterial Blood Pressure.

(NCT03029715)
Timeframe: During operation and follow-up, an average of 2 hours

InterventionmmHg (Mean)
Sleeve Gastrectomy 171.05
Sleeve Gastrectomy 262.7

[back to top]

Analgesic Requirements.

Total paracetamol consumption. (NCT03029715)
Timeframe: Within one hour after surgery

Interventionmg (Mean)
Sleeve Gastrectomy 13.56
Sleeve Gastrectomy 21.67

[back to top]

ASES

American Shoulder and Elbow Surgeons (ASES) Shoulder Score for pain and function. Range 0-100. Low score = worse shoulder condition. Function, disability, and pain subscores (all ranges 0-50), and are summed for total ASES score. (NCT03540030)
Timeframe: 2 Weeks

Interventionunits on a scale (Median)
Observational54.3
Non-Opioid Intervention54.2

[back to top]

Veterans RAND 12 Item Health Survey (VR-12©) Physical Health Subscore, and Mental Health Subscore

quality of life using VR-12 subscores. Physical Health (PCS) subscore and Mental Health (MCS) subscore, not summed. Range reported in weighted units. Physical Health subscore: 1 point increase in PCS is associated with 6% lower total health care expenditures, 5% lower pharmacy expenditures, 9% lower rate of hospital inpatient visits, 4% lower rate of medical provider visits, 5% lower rate of hospital outpatient visits. Mental Health sub score a 1 point increase in MCS is associated with 7% lower total health care expenditures, 4% lower pharmacy expenditures, 15% lower rate of hospital inpatient visits, and 4% lower rate of medical provider visits. Both PCS/MCS are score 0-100 with 100 indicating the highest level of health. (NCT03540030)
Timeframe: 2 Weeks

,
Interventionscore on a scale (Median)
PCSMCS
Non-Opioid Intervention35.059.1
Observational36.756.3

[back to top]

Veterans RAND 12 Item Health Survey (VR-12©) Physical Health Subscore, and Mental Health Subscore

quality of life using VR-12 subscores. Physical Health (PCS) subscore and Mental Health (MCS) subscore, not summed. Range reported in weighted units. Physical Health subscore: 1 point increase in PCS is associated with 6% lower total health care expenditures, 5% lower pharmacy expenditures, 9% lower rate of hospital inpatient visits, 4% lower rate of medical provider visits, 5% lower rate of hospital outpatient visits. Mental Health sub score a 1 point increase in MCS is associated with 7% lower total health care expenditures, 4% lower pharmacy expenditures, 15% lower rate of hospital inpatient visits, and 4% lower rate of medical provider visits. Both PCS/MCS are score 0-100 with 100 indicating the highest level of health. (NCT03540030)
Timeframe: 2 Months

,
Interventionscore on a scale (Median)
PCSMCS
Non-Opioid Intervention40.360.8
Observational38.458.7

[back to top]

Pain Satisfaction

Satisfaction with overall pain using Numeric Pain Rating (NRS) scale. yes, no. No being better than yes. (NCT03540030)
Timeframe: 2 Weeks

,
InterventionParticipants (Count of Participants)
YesNoUnknown
Non-Opioid Intervention3410
Observational2712

[back to top]

Pain Satisfaction

Satisfaction with overall pain using Numeric Pain Rating (NRS) scale. yes, no. No being better than yes. (NCT03540030)
Timeframe: 2 Months

,
InterventionParticipants (Count of Participants)
YesNoUnknown
Non-Opioid Intervention2924
Observational2352

[back to top]

Nausea

rate of nausea (NCT03540030)
Timeframe: 2 Weeks

,
InterventionParticipants (Count of Participants)
YesNoUnknown
Non-Opioid Intervention1340
Observational5232

[back to top]

Nausea

rate of nausea (NCT03540030)
Timeframe: 2 Months

,
InterventionParticipants (Count of Participants)
YesNoUnknown
Non-Opioid Intervention1300
Observational0282

[back to top]

Falls

rate of falls (NCT03540030)
Timeframe: 2 Weeks

,
InterventionParticipants (Count of Participants)
YesNoUnknown
Non-Opioid Intervention5300
Observational1272

[back to top]

Falls

rate of falls (NCT03540030)
Timeframe: 2 Months

,
InterventionParticipants (Count of Participants)
YesNoUnknown
Non-Opioid Intervention4274
Observational4242

[back to top]

Constipation

rate of constipation (NCT03540030)
Timeframe: 2 Months

,
InterventionParticipants (Count of Participants)
YesNoUnknown
Non-Opioid Intervention4274
Observational7212

[back to top]

Additional Post Op Pain

post-operative pain: measured on a 0 (no pain) -10 (worst) numeric rating scale (NRS) at 6hrs, 12hrs, 2 weeks, and 2 months. A score of 0(no pain) is preferable to 10(worst possible pain) (NCT03540030)
Timeframe: 6hrs, 12hrs, 2weeks, 2 months

,
Interventionscore on a scale (Median)
6 Hrs12 hrs2 weeks2 months
Non-Opioid Intervention0.000.820
Observational241.30.7

[back to top]

Simple Shoulder Test

Simple Shoulder Test (SST) activity score. Range 0-12. 0 = worse activity score. (NCT03540030)
Timeframe: 2 Weeks

Interventionscore on a scale (Median)
Observational2.0
Non-Opioid Intervention2.0

[back to top]

Simple Shoulder Test

Simple Shoulder Test (SST) activity score. Range 0-12. 0 = worse activity score. (NCT03540030)
Timeframe: 2 Months

Interventionscore on a scale (Median)
Observational6
Non-Opioid Intervention6

[back to top]

Post Op Pain

Pain at patient discharge or 24-hours, whichever comes first - measured on a 0 (no pain) -10 (worst possible pain) numeric rating scale (NRS). A score of 0(no pain) is preferable to 10(worst possible pain) (NCT03540030)
Timeframe: 24 hours

Interventionscore on a scale (Median)
Observational3.0
Non-Opioid Intervention2.0

[back to top]

Morphine Use

Morphine milli-equivalents In-hospital post-operative. Continuous scale of MME, no defined better/worse. Measured as number and dose of medications taken. For example, if the patient received an opioid, the drug and dose was recorded and converted to MME. A time frame of when to assess opioid use in-hospital post-operative was not used but was a continuous monitor for rescue opioid from in-hospital post-operative through discharge. (NCT03540030)
Timeframe: In-hospital Stay

InterventionMorphine milli-equivalents (Median)
Observational45.0
Non-Opioid Intervention19.0

[back to top]

Constipation

rate of constipation (NCT03540030)
Timeframe: 2 Weeks

,
InterventionParticipants (Count of Participants)
YesNoUnknown
Non-Opioid Intervention13220
Observational1992

[back to top]

Time to First Neurological Exam

Time to first neurological exam after emergence from general anesthesia (NCT03996148)
Timeframe: up to 1 hour after emergence from general anesthesia.

InterventionMinutes (Mean)
Remifentanil, Propofol, and Desflurane9
Remifentanil, Dexmedetomidine, and Desflurane7
Remifentanil and Desflurane7

[back to top]