Health Condition 1: null- Patients with Traumatic brain injury ( Acute subdural hematoma, Extradural hematoma, contusions), meningioma undergoing surgery
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Expected blood loss > 500 ml. 2. Highly vascular meningioma based on CT/ MRI/ DSA.
Exclusion criteria
Exclusion criteria: Patients with bilateral head injury (similar extent of injury on opposite side), Patients with baseline heart rate > 100 bpm after intubation and fluid resuscitation, Patients on treatment with beta blockers, clonidine,neostigmine, atropine, glycopyrrolate, Patients with known drug allergy to local anaesthetics, Pregnancy, Patients with cardiac arrhythmias, Duration of surgery Baseline Haemoglobin (Hb) Patients refusing to give consent
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Change in the values of ANI and SPI intraoperatively during acute blood loss in patients undergoing surgery for traumatic brain injury (subdural, extradural hematoma and contusions) and supratentorial meningiomasTimepoint: During blood loss every 5 minutes | — |
Secondary
| Measure | Time frame |
|---|---|
| To study the effect of Noradrenaline on the values of ANI and SPI in the event of hypotension during acute blood loss intraoperativelyTimepoint: Every 5 minutes in an event of hypotension during acute blood loss intraoperatively. | — |
Countries
India
Contacts
National Institute of Mental Health and Neurosciences (NIMHANS)