Health Condition 1: O- Medical and Surgical
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: ASA IE and IIE, Patients with ruptured cerebral aneurysms with Hunt and Hess (H and H) Grade I– II, World Federation of Neurosurgeons (WFNS) Grade I–II scheduled for aneurysmal clipping surgery will be included in the study.
Exclusion criteria
Exclusion criteria: Patients’ refusal to participate in the study, Patients with Poor- grade aneurysm (H and H grade IV–V,WFNS grade IV–V), Patients with Giant aneurysm, Patient with an anticipated difficult airway, Patients with psychiatric illness, Patients with uncontrolled systemic diseases (CAD, HTN, DM, Asthma).
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To compare the change in ONSD from baseline after securing the airway between both groups.Timepoint: At 5 minutes after securing the airway. | — |
Secondary
| Measure | Time frame |
|---|---|
| ONSD will be measured before induction (T0), immediately after establishing the bag & mask ventilation (T1), immediately after intubation (T2), 5 minutes after intubation (T3), & 10 minutes after intubation (T4). Intraoperative brain relaxation score. Comparison of the hemodynamic parameters. Serum cortisol level (pre-operative, & post-operatively at 24 hours). Modified Rankin score (mRS) score at discharge. GOSE at 3 months after discharge.Timepoint: Before induction (T0), immediately after establishing the bag & mask ventilation (T1), immediately after intubation (T2), 5 minutes after intubation (T3), 10 minutes after intubation (T4),at discharge(T5) & at 3months after discharge(T6). | — |
Countries
India
Contacts
PGIMER, Chandigarh