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Phenylephrine versus EPhedrine on cerebral Perfusion during Carotid EndarteRectomy

Completed
Conditions
10011954
intraoperative hypotension
low blood pressure during surgery
10003184
Registration Number
NL-OMON38169
Lead Sponsor
niversitair Medisch Centrum Utrecht
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
Not specified
Target Recruitment
40
Inclusion Criteria

To be included in the current study all patients must meet the following criteria:
1. Undergoing CEA because of a symptomatic high degree stenosis of the ICA in the University Medical Centre Utrecht
2. Having an appropriate temporal bone window for reliable perioperative TCD monitoring
3. Have given written informed consent.
4. A decrease in MAP >20%

Exclusion Criteria

Exclusion criteria
Patients will be excluded if they meet one of the following criteria:
1. Not having a temporal bone window appropriate for TCD measurement
2. Not willing to give informed consent.
3. No decrease in MAP >20%
4. A heart rate less than 50 beats per minute at the time of administration.
5. Hypersensitivity to either ephedrine of phenylephrine

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
<p>Change in cerebral oxygenation (rSO2) measured using Near Infrared<br /><br>Spectroscopy (NIRS).</p><br>
Secondary Outcome Measures
NameTimeMethod
<p>Change in velocity measured in the a. cerebri media (Vmca) measured using<br /><br>transcranial Doppler (TCD).<br /><br>The cerebral autoregulation will be quantified as being adequate or<br /><br>non-adequate.</p><br>
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