Health Condition 1: C711- Malignant neoplasm of frontal lobe
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1.Consenting adult patients undergoing elective supratentorial tumour excision 2.Age 18-60yrs 3.ASA (American Society of Anaesthesiologists) class 1 and 2 4.GCS 15 prior to the surgery
Exclusion criteria
Exclusion criteria: 1.Patient refusal 2.Age 60yrs 3.Patients with a difference of 10% or more in the baseline NIRS values between right and left sides 4.Patients with clinical signs (headache, vomiting, confusion, papilloedema, pupillary asymmetry) or radiological signs (midline shift >1cm, presence of hydrocephalus) of raised intracranial pressure preoperatively 5.Patients with carotid artery disease 6.Long standing uncontrolled diabetes mellitus, systemic hypertension, cardiovascular disease, COPD 7.Patients with previous history of stroke, transient ischemic attacks 8.Obesity 9.ASA class III, IV, V patients. 10.Patients with subarachnoid hemorrhage, vasospasm. 11.Pregnant & nursing mothers.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| comparison of cerebral oxygenation between sevoflurane and propofol anaesthesia in patients undergoing supratentorial tumour excisionTimepoint: at a steady state of PaCO2 of 36-38mmHg | — |
Secondary
| Measure | Time frame |
|---|---|
| comparison of cerebral oxygenation at normocarbia and during hyperventilation in patients undergoing supratentorial tumour excisionTimepoint: at 20minutes of normocarbia at 20minutes of hyperventilation | — |
Countries
India
Contacts
Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum