Surgical Position related Changes of Intraabdominal pressure in neurosurgery

Not yet recruiting

Brief Summary: This is a prospective single center observational study , where Intra abdominal pressure changes will be ,monitored in different neurosurgical positions , like supine , prone, lateral and sitting . Secondary outcome will be to the impact of intraoperative IAP changes in post operative hepatic and renal function & on duration of ICU stay, hospital stay and neurological outcome ( using GOS ) . IAP will be measured using intravesical catheter technique Intraoperatively , and post operatively for 24 hour. Post operatively LFT and KFT will be done daily for 72 hours and renal injury status will be accessed using AKIN criteria.

Recruitment & Eligibility

Inclusion Criteria

Adult Patients of ASA I & II category (18 to 60 years of age) scheduled to undergo craniotomy for elective neurosurgical procedures.

Exclusion Criteria

1 Emergency neurosurgical cases.
2 Patients with active abdominal pathology (eg: Liver disease and kidney disease, abdominal trauma etc) and/or preoperative hepatic or renal impairment.
3 Contraindication to bladder catheterisation (eg: bladder surgery, injury, urethral strictures etc) 4 Preoperative haemodynamic instability.
5 Pregnancy, Morbid obesity.

Primary Outcome Measures

Name	Time	Method
To estimate the change of Intraabdominal pressure (IAP) from the baseline in different neurosurgical positions intraoperatively	O day and upto 3rd day

Secondary Outcome Measures

Name	Time	Method
To study the impact of intra-operative IAP changes with post-operative hepatic and renal function.	From the day of surgery to 3 post operative days .
To study the impact of intra-operative IAP changes with ICU stay, hospital stay and the neurological outcome.	From the day of surgery till hospital discharge

Locations (1): AIIMS New Delhi
🇮🇳
South, DELHI, India
AIIMS New Delhi
🇮🇳South, DELHI, India
Dr Sagar Debbarman
Principal investigator
7005978936
sagar4848@gmail.com