Hypotension during anesthesia for brain tumor surgery MedDRA version: 21.0 Level: LLT Classification code 10056679 Term: Intraoperative hypotension System Organ Class: 100000004863
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Subjects aged 18-75 yr. scheduled for elective craniotomy for supratentorial tumors with a minimum size of 3 cm (measured as the largest diameter in any plane) are included Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range 40 F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range 40
Exclusion criteria
Exclusion criteria: Exclusion criteria are history of allergy or intolerance to one of the study medications, an American Society of Anesthesiologists (ASA) physical status IV to VI, pregnancy (positive pregnancy urine test) or breastfeeding and inability to give written informed consent
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: In the attempt to improve brain outcomes, we initiate this interdisciplinary and international collaborative project to understand the impact of two commonly used vasopressor agents (phenylephrine vs. noradrenaline) on cerebral circulation and oxygenation in patients undergoing brain tumor resection. We also aim to understand the impact of vasopressor-induced changes in systemic hemodynamics on regional perfusion in organs including the brain, heart and muscle. ;Secondary Objective: The project shall further assess whether the vasopressor effects on CBF during anesthesia are dependent on cardiac performance.;Primary end point(s): The primary endpoint is the between-group difference in ?CBF (?= posttreatment value-pretreatment value).;Timepoint(s) of evaluation of this end point: Within 6 months after inclusion of the last subject | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): The between-group differences in cardiac output, muscle blood flow, myocardial blood flow, cerebral metabolic rate of oxygen, oxygen extraction fraction, cerebral tissue oxygen saturation , ratio's between organ's blood flow and the between-organ differences in blood flow;Timepoint(s) of evaluation of this end point: Within 6 months after inclusion of the last subject | — |
Countries
Denmark
Contacts
Aarhus University Hospital