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Comparing the effects of two different anesthetic agents (Propofol and Sevoflurane) on the blood flow and oxygen concentration in the brain with patients lying face dow

Not Applicable
Conditions
Health Condition 1: O- Medical and SurgicalHealth Condition 2: G952- Other and unspecified cord compression
Registration Number
CTRI/2022/09/045560
Lead Sponsor
DR GEETHA
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
ot Yet Recruiting
Sex
Not specified
Target Recruitment
0
Inclusion Criteria

1.Patients aged 18 ââ?¬â?? 65 years

2.ASA 1 and 2

3.Elective thoracolumbar spinal surgeries

Exclusion Criteria

1.Unable to insonate the MCA

2.Re exploration procedures

3.Carotid artery disease

4.Presence of intracranial pathology (intracranial space occupying lesions, meningitis, stroke, traumatic brain injury)

5.Intraoperative dye utilization or blood transfusion

6.Intraoperative SSEP and MEP recording

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
1.To compare the cerebral blood flow (MCA velocity and PI using TCD) between Propofol and Sevoflurane based anaesthesia in prone position <br/ ><br>2.To compare the cerebral oxygenation (rSO2 using NIRS) between Propofol and Sevoflurane based anaesthesia in prone position <br/ ><br>Timepoint: The baseline Cerebral Hemodynamics and Oxygenation parameters will be recorded prior to Surgery, Using Transcranial doppler ultrasound (TCD) and Near infra red spectroscopy.After proning post induction of anesthesia recordings shall be taken every 15 minutes for the first 1 hour, then every 30 minutes for next 2 hours and hourly there after. final recordings shall be taken in the recovery room
Secondary Outcome Measures
NameTimeMethod
To assess the outcome in terms of MMSE (Mini Mental State Examination)Timepoint: A baseline in the pre operative area and in the recovery room after extubation
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