Health Condition 1: I60- Nontraumatic subarachnoid hemorrhage
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1.Ruptured anterior circulation aneurysm within one week of ictus undergoing surgical clipping 2.WFNS grade 1-2
Exclusion criteria
Exclusion criteria: 1. Pre-existing cardiac/ renal/ liver failure 2. Contraindication for propofol administration 3. Refusal of consent 4. Inadequate TCD window 5. Internal Carotid artery stenosis/ plaque visualized in CT Angio. 6. Change of anaesthetics agent
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To determine and compare the changes in cerebral blood flow velocity, autoregulation and rSO2 between desflurane and propofol based anaesthesia.Timepoint: 10 MIN PRIOR TO INDUCTION OF ANESTHESIA, 10 MIN POST INTUBATION ON ACHIEVING STEADY STATE AFTER ANESTHESIA IS ESTABLISHED. | — |
Secondary
| Measure | Time frame |
|---|---|
| To determine the effect of cerebral hemodynamic changes of the two agents on short-term neurological outcome in aneurysm patients undergoing clipping.Timepoint: POST OPERATIVE PERIOD IMMEADIATELY AFTER SURGERY - VITAL PARAMETERS, NUMBER OF DAYS OF HOSPITAL STAY , NEUROLOGICAL ASSESSMENT AT THE TIME OF DISCHARGE VIA GCS , GOS SCLAES , ANY MORTALITY , ANY DELAYED ISCHEMIA;To determine the relationship of Cerebral blood flow Velocity, auto-regulation with rSO2( regional saturation ) when anesthesia is provided with two different agents i.e propofol and desflurane.Timepoint: 10 MIN PRIOR TO INDUCTION OF ANESTHESIA, 10 MIN POST INTUBATION ON ACHIEVING STEADY STATE AFTER ANESTHESIA IS ESTABLISHED. | — |
Countries
India
Contacts
NIMHANS