Health Condition 1: O- Medical and Surgical
Conditions
Interventions
Intervention1: Target controlled infusion of dexmedetomidine: Hannivoort pharmacokinetic model with effect site concentration of 1 ng/ml
titrated to bispectral index 70-80, during cortical brain mapp
Sponsors
Dr Shagun Bhatia Shah
Eligibility
Inclusion criteria
Inclusion criteria: American Society of Anesthesiologists Physical Status I/II patients, weighing 45-80 kg posted for awake craniotomy
Exclusion criteria
Exclusion criteria: Refusal to give consent, Local Anesthetic Allergy, Raised intracranial pressure, Bradyarrhythmia, Deranged liver function tests
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Pain Numeric Rating ScaleTimepoint: T0 = Baseline T1 = Scalp block T2 = Urinary catheterization T3 = Application of headpins and clamp T4 = Skin Incision T5 = Burr Holes T6 = Dural Incision T7 = Cortical Mapping T8 = Tumour surgery T9 = Dural Closure T10 = Skin closure | — |
Secondary
| Measure | Time frame |
|---|---|
| Anxiety Numeric Rating Scale (NRS) scoreTimepoint: T0 = Baseline T1 = Scalp block T2 = Urinary catheterization T3 = Application of headpins and clamp T4 = Skin Incision T5 = Burr Holes T6 = Dural Incision T7 = Cortical Mapping T8 = Tumour surgery T9 = Dural Closure T10 = Skin closure;Perfusion IndexTimepoint: T0 = Baseline T1 = Scalp block T2 = Urinary catheterization T3 = Application of headpins and clamp T4 = Skin Incision T5 = Burr Holes T6 = Dural Incision T7 = Cortical Mapping T8 = Tumour surgery T9 = Dural Closure T10 = Skin closure;Observers Assessment of alertness/sedation (OAS/S) scoreTimepoint: T0 = Baseline T1 = Scalp block T2 = Urinary catheterization T3 = Application of headpins and clamp T4 = Skin Incision T5 = Burr Holes T6 = Dural Incision T7 = Cortical Mapping T8 = Tumour surgery T9 = Dural Closure T10 = Skin closure;Heart RateTimepoint: T0 = Baseline T1 = Scalp block T2 = Urinary catheterization T3 = Application of headpins and clamp T4 = Skin Incision T5 = Burr Holes T6 = Dural Incision T7 = Cortical Mapping T8 = Tumour surgery T9 = Dural Closure T10 = Skin closure;Mean Arterial PressureTimepoint: T0 = Baseline T1 = Scalp block T2 = Urinary catheterization T3 = Application of headpins and clamp T4 = Skin Incision T5 = Burr Holes T6 = Dural Incision T7 = Cortical Mapping T8 = Tumour surgery T9 = Dural Closure T10 = Skin closure;Respiratory rateTimepoint: T0 = Baseline T1 = Scalp block T2 = Urinary catheterization T3 = Application of headpins and clamp T4 = Skin Incision T5 = Burr Holes T6 = Dural Incision T7 = Cortical Mapping T8 = Tumour surgery T9 = Dural Closure T10 = Skin closure;Bispectral indexTimepoint: T0 = Baseline T1 = Scalp block T2 = Urinary catheterization T3 = Application of headpins and clamp T4 = Skin Incision T5 = Burr Holes T6 = Dural Incision T7 = Cortical Mapping T8 = Tumour surgery T9 = Dural Closure T10 = Skin closure;Patient Satisfaction with Sedatio | — |
Countries
India
Contacts
Public ContactDr Shagun Bhatia Shah
Rajiv Gandhi Cancer Institute and Research Centre, Sector 5, Rohini, Delhi
Outcome results
None listed