Cerebral blood flow and blood flow velocity during general anesthesia
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: - scheduled for elective coronary surgery.
Exclusion criteria
Exclusion criteria: - older than 80 yr of age; - female sex; - active neurological disease; - history of cerebrovascular disease; - brain injury; - intracranial surgery; - Instable angina pectoris (emergency procedure); - Severe aortic valve stenosis; - Liver failure - patient refusal,
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The study has been planned and conducted before CONSORT Statement (Consolidated Standards of Reporting Trials). The purpose of this trial is to compare measurements of blood flow velocity in the middle cerebral artery (Vmca) by transcranial Doppler sonography (TCD) with measurements of global cerebral blood flow (CBF) by modified Kety-Schmidt-Technique (KST) using argon gas as indicator. Main outcome measures: Changes in mean blood flow velocity of the middle cerebral artery (Vmca) and cerebral blood flow (CBF), cerebral blood flow reactivity (CO2-R), cerebral delivery of oxygen (cDO2), cerebral rate of oxygen, glucose and lactate efflux (CMRO2, CMRG, CMRL), cerebrovascular resistance (CVR), cerebral perfusion pressure (CPP), and TCD- derived parameters of flow (FI), resistance (RI) and pulsatility (PI). | — |
Secondary
| Measure | Time frame |
|---|---|
| (A) Parameters of the systemic und pulmonal circulation Blood gas analysis. (B) Secondary analysis: cerebraler Zero Flow Pressure (ZFP), effektiver cerebral perfusion pressure (CPPe), Resistance area product (RAP). | — |
Countries
Germany
Contacts
Universitätsmedizin Göttingen Georg-August-Universität Zentrum Anaesthesiologie, Rettungs- und Intensivmedizin (ZARI)