The brain is a very vulnerable organ, especially in premature babies, newborns and infants. However, during anesthesia, the oxygenation of the brain can only be monitored indirectly and insufficiently. Near-infrared spectroscopy (NIRS) is an established monitoring method in other areas (e.g., neonatology, cardiac anesthesia), which provides non-invasive information about the regional oxygen supply of the brain. The integration of this monitoring device into the anaesthesiological care for neonates and infants could reduce the risk of cerebral hypoxia. The planned study investigates whether the use of NIRS in anesthetized children up to 6 months can prevent or influence the occurrence of cerebral hypoxia.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
DIAGNOSTIC
Masking
DOUBLE
Treatment according to protocol in phases of cerebral hypoxia.
Cerebral hypoxic burden
Time under 65% cerebral oxygen saturation
Time frame: 1 day
Fluid administration
ml/kg
Time frame: 1 day
Number of participants with Vasopressor or Inotrope administered
Proportion
Time frame: 1 day
Number of participants with erythrocyte administration
Proportion
Time frame: 1 day
Fraction of inspired oxygen
%
Time frame: 1 day
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