Changes in Cerebral Oxygenation Related to Intraoperative Position Changes

N/AEnrolling By InvitationNCT06910228

Joseph D. Tobias50 enrolled

Overview

This is a prospective, observational study. This study will assess the effect of temporary changes in body position (supine, head of bed elevated 30 degrees, head of bed elevated 60 degrees) in anesthetized patients. Tissue oxygenation will be assessed non-invasively using near infrared spectroscopy (NIRS) by a device that is used in our operating rooms and the ICU setting to assess cerebral and tissue oxygenation.

Study Type

OBSERVATIONAL

Enrollment

Conditions

Scoliosis Patients

Interventions

Near infrared spectroscopy (NIRS)DEVICE

A non-invasive technique that uses light to assess brain function and tissue oxygenation.

Eligibility

Sex: ALLMin age: 10 YearsMax age: 21 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Patients 10-21 years of age undergoing posterior spinal fusion, requiring neurophysiologic monitoring and an arterial cannula Exclusion Criteria: * Patients in whom an arterial cannula is not indicated for the surgical procedure * Patients with comorbid conditions that may impact cerebral blood flow, cerebral perfusion or place them at risk for cerebral hypoperfusion * Patients in whom an invasive arterial cannula cannot be placed

Locations (1)

Nationwide Children's Hospital

Columbus, Ohio, United States

Outcomes

Primary Outcomes

Change in cerebral oxygenation at 30 degrees

Moving the head of the bed to 30 degrees and comparing cerebral oxygen levels to levels when patient was lying flat.

Time frame: 5-10 minutes after start of study

Change in cerebral oxygenation at 60 degrees

Moving the head of the bed to 60 degrees and comparing cerebral oxygen levels to levels when patient was lying flat.

Time frame: 10-15 minutes after start of study

Data from ClinicalTrials.gov

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