Health Condition 1: N00-N99- Diseases of the genitourinary system
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Patient posted for elective Robotic assisted Laparoscopic Prostatectomy. Informed written consent for the study American Society of Anaesthesiologist physical status II-III Age between 18-75 years male
Exclusion criteria
Exclusion criteria: BMI > 35kg/m2 History of glaucoma, Retinal detachment History of ocular surgery History of Neurological disease -transient ischemic attack -carotid disease -raised ICP -cerebral edema Hemodynamic instability
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To compare optic nerve sheath diameter changes from supine position to trendelenburg position in patients undergoing Robotic assisted laparoscopic prostatectomyTimepoint: 1 day | — |
Secondary
| Measure | Time frame |
|---|---|
| To find the correlation between changes in ONSD with different angles of trendelenburg position during RALP. Hemodynamic changes (mean arterial pressure). peak inspiratory pressure (PIP). ETCO2. Total duration of surgery. Other complications related to trendelenburg position. Sliding cephalad(yes/no). Brachial plexus injury (yes/no). Lower extremity neuropathy (yes/no). Facial oedema (yes/no). Head ache(yes/no). Nausea/vomiting(yes/no). Blurred vision(yes/no). Post operative delirium emergence(yes/no). Timepoint: Preoperative baseline ONSD in awake patients in supine 10 minutes post intubation in supine position 30 minutes (1/2 hr ) after Trendelenburg position 90 minutes (1 ½ hr) after Trendelenburg position At end of the surgery in Trendelenburg position Before extubation in supine position | — |
Countries
India
Contacts
Fortis hospital , mulund west.