Advertisement

Topics

Prospective Evaluation of Cognitive Outcomes After Anesthesia on Patients in the Beach Chair Position

2016-02-04 18:08:22 | BioPortfolio

Summary

The purpose of this study was to use Near Infrared Spectroscopy (NIRS) monitoring on participants undergoing shoulder surgery in the beach chair position to determine cerebral desaturation events and to further determine cognitive changes pre and post surgery using the Mini Mental State Exam.

Description

In this prospective, randomized, controlled study, investigators used a standardized anesthesia protocol to maintain the MAP during surgeries done in the BCP. Investigators hypothesized that, if the MAP was maintained, NIRS monitoring would not change intra-operative anesthesia management and would not affect the post-operative cognitive outcomes of participants undergoing surgery in the beach chair position. Investigators secondarily wanted to document the actual incidence of cerebral desaturation events (CDEs) recorded by NIRS occurring in participants placed in the BCP if the MAP was strictly maintained.

Study Design

Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Investigator), Primary Purpose: Treatment

Conditions

Injury as a Result of Positioning

Intervention

NIRS

Location

West Virginia University
Morgantown
West Virginia
United States
26506-9196

Status

Completed

Source

West Virginia University

Results (where available)

View Results

Links

Published on BioPortfolio: 2016-02-04T18:08:22-0500

Clinical Trials [854 Associated Clinical Trials listed on BioPortfolio]

Prone Positioning in Pediatric Acute Lung Injury

The purpose of this trial is to test the hypothesis that at the end of 28 days, infants and children with acute lung injury treated with prone positioning would have more ventilator-free d...

A Multi-Center Study of Near-Infrared Spectroscopy (NIRS) for Hematoma Detection

The purposes of this study are: 1. To determine the sensitivity and specificity of the NIRS measurements for identifying intracranial hematomas due to trauma. 2. To determ...

Tetra-NIRS Clinical Study

The purpose of this experiment is to validate the previous clinical study results using the Tetra-NIRS as compared to the conventional UDS in the voiding procedure. The experiment will use...

Comparison of Two Different Procedures for Plexus Anesthesia

The purpose of this study is to investigate the influence of difference positioning on extension and efficacy of brachial plexus anesthesia at 20 minutes by using the axillary plexus block...

Perinatal Brain Injury: Potential of Innovative NIRS to Optimize Hypothermia

The purpose of this study is to improve the ability of the investigators to monitor brain health in newborn babies at risk of brain injuries. The researchers will be using an investigation...

PubMed Articles [9049 Associated PubMed Articles listed on BioPortfolio]

Cerebral near-infrared spectroscopy monitoring for prevention of brain injury in very preterm infants.

Cerebral injury and long-term neurodevelopmental impairment is common in extremely preterm infants. Cerebral near-infrared spectroscopy (NIRS) enables continuous estimation of cerebral oxygenation. Th...

Validation of brain-derived signals in near-infrared spectroscopy through multivoxel analysis of concurrent functional magnetic resonance imaging.

Near-infrared spectroscopy (NIRS) is a convenient and safe brain-mapping tool. However, its inevitable confounding with hemodynamic responses outside the brain, especially in the frontotemporal head, ...

Avoiding Complications From Patient Positioning for Intraocular Surgery.

Collaboration of the surgical and anesthesia teams for patient positioning is essential to assure patient comfort and safety, preventing systemic and ophthalmic complications. The goals and rationales...

The Shikani Optical Stylet as an Alternative to Awake Fiberoptic Intubation in Patients at Risk of Secondary Cervical Spine Injury: A Randomized Controlled Trial.

Conventional intubation of the trachea and consequent prone positioning of anesthetized patients with cervical spine instability may result in secondary neurological injury. Historically, flexible fib...

Indocyanine green kinetics with near-infrared spectroscopy predicts cerebral hyperperfusion syndrome after carotid artery stenting.

Cerebral hyperperfusion syndrome (HPS) is a potentially life-threatening complication following carotid artery stenting (CAS) and carotid endoarterectomy (CEA). Early prediction and treatment of patie...

Medical and Biotech [MESH] Definitions

Impairment of the ability to perform smoothly coordinated voluntary movements. This condition may affect the limbs, trunk, eyes, pharynx, larynx, and other structures. Ataxia may result from impaired sensory or motor function. Sensory ataxia may result from posterior column injury or PERIPHERAL NERVE DISEASES. Motor ataxia may be associated with CEREBELLAR DISEASES; CEREBRAL CORTEX diseases; THALAMIC DISEASES; BASAL GANGLIA DISEASES; injury to the RED NUCLEUS; and other conditions.

A genetic process by which the adult organism is realized via mechanisms that lead to the restriction in the possible fates of cells, eventually leading to their differentiated state. Mechanisms involved cause heritable changes to cells without changes to DNA sequence such as DNA METHYLATION; HISTONE modification; DNA REPLICATION TIMING; NUCLEOSOME positioning; and heterochromatization which result in selective gene expression or repression.

Conditions characterized by persistent brain damage or dysfunction as sequelae of cranial trauma. This disorder may result from DIFFUSE AXONAL INJURY; INTRACRANIAL HEMORRHAGES; BRAIN EDEMA; and other conditions. Clinical features may include DEMENTIA; focal neurologic deficits; PERSISTENT VEGETATIVE STATE; AKINETIC MUTISM; or COMA.

The failure to retain teeth as a result of disease or injury.

Abnormal communication between two ARTERIES that may result from injury or occur as a congenital abnormality.

More From BioPortfolio on "Prospective Evaluation of Cognitive Outcomes After Anesthesia on Patients in the Beach Chair Position"

Quick Search
Advertisement
 

Relevant Topic

Joint Disorders
A joint is where two or more bones come together, like the knee, hip, elbow, or shoulder. Joints can be damaged by many types of injuries or diseases, including Arthritis - inflammation of a joint causes pain, stiffness, and swelling with ...


Searches Linking to this Trial