Prevention of cerebral and renal desaturation in major non-cardiac surgery. Surgery
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Patients due to undergo elective major non-cardiac surgery requiring invasive arterial monitoring (decided at the discretion of the treating clinician) under general anaesthesia, and with an expected duration of greater than 90 minutes.
Exclusion criteria
Exclusion criteria: 1. Subject has skin abnormalities affecting the forehead, flank or skin of the upper leg that would prevent monitoring of tissue oxygenation during the study 2. Patients undergoing cardiac surgery with cardiopulmonary bypass (non-pulsatile blood flow) 3. Age <18 years
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Raw waveform data collected using: 1. Haemodynamic monitoring measured using arterial line (FloTrac sensor) 2. Non-invasive haemodynamic monitoring using finger cuff (ClearSight) 3. Four NIRS sensors (ForeSight) two to the forehead for cerebral oxygenation, one to the right flank for renal oxygenation, and one to the quadriceps for peripheral oxygenation | — |
Secondary
| Measure | Time frame |
|---|---|
| There are no secondary outcome measures | — |
Countries
England, Netherlands, United Kingdom