Evaluation of Transcranial Doppler Spectral(TCD) signatures and assessment of cerebral oxygenation using Near infrared spectroscopy (NIRS) in patients undergoing neurosurgical procedures as a novel marker for clinical outcome and prognostication -An observational study. - SCTTCD

DIRECTOR0 个研究点目标入组 0 人开始时间: 待定最近更新: 2022年4月4日

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•. Patients posted for supratentorial craniotomy for brain tumour resection with tumour size more than 6 cm along with features of raised ICP, without hydrocephalus.
•Patients undergoing decompressive craniectomy for malignant stroke.
•Patients with aneurysmal SAH undergoing clipping.
•Age more than 18 years

•Refusal of consent for study.
•Age < 18 years, > 65 years
•Pregnant and lactating mothers
•patients with technical problems wherein TCD cannot be performed optimally such as thick skull leading to a poor window for insonation of the vessel.
•Patients with severe comorbidity like decompensated heart failure, coronary heart disease, Irregularity in the left ventricular ejection volume (due to, for example, fibrillation or atrial flutter, or frequent ventricular extrasystole); and cardiac frequencygreater than 140 beats/minute, advanced liver or renal disease, uncontrolled hypertension, diabetes mellitus, severe pulmonary disease.
•Recurrent surgery.
•Patients who are on hemodynamic support before surgery.
•Patients with Aortic Regurgitation

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