Health Condition 1: G00-G99- Diseases of the nervous system
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Patients diagnosed with aneurysmal subarachnoid hemorrhage of anterior circulation posted for endovascular coiling or surgical clipping.
Exclusion criteria
Exclusion criteria: Patients with with posterior circulation aneurysm, ASA physical status V and VI, Pre-existing chronic neurologic disease, Moderate and severe systolic dysfunction (Ejection fraction less than 40%), Severe valvular stenosis (aortic or mitral), Unoptimized circulatory shock, Severe anaemia
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Regional cerebral oxygenation levels during intraoperative and initial postoperative period for six hours in patients undergoing endovascular coiling or surgical clippingTimepoint: Baseline values before administration of any drug Every 5minutes till the patient is either extubated or shifted out of operation theatre intubated Every 15 minutes till 6 hours postoperatively | — |
Secondary
| Measure | Time frame |
|---|---|
| Area under curve of regional cerebral oxygenation levels below 10% from baselineTimepoint: Baseline values before administration of any drug Every 5minutes till the patient is either extubated or shifted out of operation theatre intubated Every 15 minutes till 6 hours postoperatively;Correlation of regional cerebral oxygenation levels with- the occurrence of delayed cerebral ischemia the grade of modified Rankin Scale number of days on mechanical ventilation number of days in ICUTimepoint: Up to 30 days of postoperative period | — |
Countries
India
Contacts
GIPMER