Health Condition 1: - Health Condition 2: M00-M99- Diseases of the musculoskeletal system and connective tissue
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: American Society of Anesthesiologists (ASA) physical status I and II and scheduled to undergo surgery in supine position with neutral head position, under general anaesthesia with controlled hypotension will be enrolled for this randomised non-inferiority trial.
Exclusion criteria
Exclusion criteria: Preexisting cerebral pathology, Cognitive disability, Carotid artery stenosis, Cardiac disease, Orthostatic hypotension, Sensitivity to study drugs.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To compare the occurrence of cerebral desaturation events caused by use of dexmedetomidine and nitroglycerin for controlled hypotensive anaesthesia.Timepoint: 30 minutes | — |
Secondary
| Measure | Time frame |
|---|---|
| To compare the effects of dexmedetomidine and nitroglycerin on left and right regional cerebral oxygen saturation, haemodynamics (blood pressure and heart rate) and postoperative cognitive decline, when used for controlled hypotensive anaesthesia.Timepoint: MMSE score will be re-evaluated after 3 days to look for postoperative cognitive decline (POCD). Any decrease in score 2 points will be defined as POCD. | — |
Countries
India
Contacts
All India Institute of Medical Sciences,Jodhpur.