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Cerebral oxygenation in the beachchair surgical patient

Not Applicable
Completed
Conditions
Stroke - Ischaemic
Intraoperative cerebral ischaemia
Beachchair position during shoulder surgery
Anaesthesiology - Anaesthetics
Surgery - Surgical techniques
Registration Number
ACTRN12613000531718
Lead Sponsor
Melbourne Orthopaedic Research Group
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
All
Target Recruitment
40
Inclusion Criteria

>18 years of age
Shoulder surgery suitable for beach chair position
Able to provide informed consent

Exclusion Criteria

Previous cerebrovascular event
Current cardiac disease including pacemaker Cerebrovascular disease
Significant cardiac or respiratory impairment
Contraindications to interscalene block
Inadequate understanding of English
Body Mass Index (BMI) > 35

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Cerebral oxygen delivery in the beach chair position. Measurement of frontal lobe cerebral oxygenation by near infra-red spectroscopy.[The primary timepoint is beachchair positioning, which occurs following induction and at completion of vasopressor infusion. ]
Secondary Outcome Measures
NameTimeMethod
Change in arterial blood pressure using intra-arterial pressure monitoring with transducer placed at tragus, and heart rate from ECG.[The secondary timepoint is beachchair positioning, which occurs following induction and at completion of vasopressor infusion. ];An ipsilateral change in cerebral oxygen saturation following interscalene blockade. Measurement of frontal lobe cerebral oxygenation by near infra-red spectroscopy.[Following interscalene blockade until post-induction before vasopressor infusion.]
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