Health Condition 1: O- Medical and Surgical
Conditions
Interventions
Intervention1: NIL: NIL
Control Intervention1: NIL: NIL
Sponsors
NIMHANS
Eligibility
Inclusion criteria
Inclusion criteria: Emergency decompressive craniectomy in patients with anterior circulation ischemic stroke - Middle cerebral artery (MCA) or internal carotid artery (ICA) ischemic stroke.
Exclusion criteria
Exclusion criteria: 1. Patients who are hemodynamically unstable (i.e systolic blood pressure 2. Preoperative peripheral oxygen saturation (SPO2) 3. Patients diagnosed with Posterior cerebral artery infarcts 4. Denial of the consent 5. Preoperative baseline values if not recordable (due to scalp hematoma, thick bone, pigmentation etc)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1.To observe the correlation between the baseline rSO2 values rSO2 Ipsilateral i.e. affected hemicranium (rSO2I) and rSO2 Contralateral i.e. unaffected hemicranium (rSO2C) and the hemicranial rSO2 difference with the severity of the stroke (as assessed by NIHSS and GCS) 2.To observe the correlation between the baseline rSO2 (rSO2I and rSO2C) values and the hemicranial rSO2 difference with the 30 day outcome (GCS, GOS, modified Rankin Score, mortality) Timepoint: Baseline, Post operative day 1 and day 30 | — |
Secondary
| Measure | Time frame |
|---|---|
| 1.Effect of decompressive craniectomy on the changes in rSO2(rSO2I and rSO2C) and the hemicranial rSO2 difference 2.To correlate post-decompressive craniectomy rSO2(rSO2I and rSO2C) and hemicranial rSO2 difference changes with the post-operative day one NIHSS score and 30day outcome Timepoint: NIHSS score on post operative Day 1 and modified rankin score or Glasgow outcome scale day 30 after surgery | — |
Countries
India
Contacts
Public ContactDr Rohini M Surve
National Institute of Mental Health and Neurosciences (NIMHANS)
Outcome results
None listed