The primary aim of this work is to assess the impact of exposure to isoflurane or sevoflurane as an inhalation anesthetic on the oxidative stress and inflammatory conditions in patients undergoing elective moderate invasive surgery (laparoscopic cholecystectomy).
Oxidative stress is defined as "an imbalance between oxidants and antioxidants in favour of the oxidants, leading to a disruption of redox signalling and control and/or molecular damage. Isoflurane, which has been utilized since the 1980s, has a particularly low metabolism rate and solubility, leading to reduced induction of anesthesia during surgery and shortened recovery time after surgery. Sevoflurane began to be used a decade later and has a lower blood-gas partition coefficient than the other anesthetics, leading to rapid induction of anesthesia and fast awakening after anesthesia.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
80
Patients will receive general anesthesia and maintenance by isoflurane.
Patients will receive general anesthesia and maintenance by sevoflurane.
Ain Shams University
Cairo, Egypt
RECRUITINGSerum level of superoxide dismutase
Serum level of superoxide dismutase (SOD) will be recorded.
Time frame: 6 months postoperatively
Serum level of serum soluble programmed cell death-ligand 1
Serum level of serum soluble programmed cell death-ligand 1 (sPD-L1) will be recorded.
Time frame: 6 months postoperatively
Serum level of nuclear factor erythroid 2-related factor
Serum level of nuclear factor erythroid 2-related factor (Nrf2) will be recorded.
Time frame: 6 months postoperatively
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