Clinical Trials Directory

Trials / Withdrawn

WithdrawnNCT02521831

Neuroinflammatory and Neurocognitive Effects of Spinal vs. Inhalational Anesthesia for Elective Surgery in Infants

Neuroinflammatory and Neurocognitive Effects of Spinal vs. Inhalational Anesthesia for Elective Surgery in Infants: A Randomized, Controlled, Double-Blinded Study

Status
Withdrawn
Phase
Phase 3
Study type
Interventional
Enrollment
0 (actual)
Sponsor
Emmett Whitaker, M.D. · Academic / Other
Sex
All
Age
1 Year
Healthy volunteers
Not accepted

Summary

Significant concern regarding the safety of general anesthesia in children has arisen due to myriad animal studies suggesting neurotoxicity of commonly used anesthetic agents. Inflammation of the central nervous system after anesthesia may have a significant role in the pathogenesis of anesthetic-induced neural injury. To evaluate this hypothesis, the investigators propose to randomize healthy infants undergoing elective surgery to one of two anesthetics: 1) spinal anesthesia only; or 2) general inhalational anesthesia with isoflurane, laryngeal mask airway (LMA) or endotracheal tube (ETT), and single-shot caudal block. Primary endpoint will be serum inflammatory biomarkers and transcriptome analysis and secondary endpoint will be neurocognitive outcome at 6 months and 1 year.

Conditions

Interventions

TypeNameDescription
DRUGSpinal Anesthesia (bupivacaine)Bupivacaine is an amide-type, long-acting local anesthetic. Brand names include Exparel, Marcaine, and Sensorcaine.
DRUGGeneral Anesthesia (isoflurane)Isoflurane is a fluorinated ether with general anesthetic and muscle relaxant effects. Brand names include Forane and Terrell.

Timeline

Start date
2015-10-01
Primary completion
2017-12-31
Completion
2017-12-31
First posted
2015-08-13
Last updated
2018-01-25

Source: ClinicalTrials.gov record NCT02521831. Inclusion in this directory is not an endorsement.