Hypertension on Emergence Clinical Trial
Official title:
Proseal Laryngeal Mask Airway Attenuates Systemic and Cerebral Hemodynamic Response During Awakening of Neurosurgical Patients
Extubation and emergence from anesthesia lead to systemic and cerebral hemodynamic changes that can cause cerebral edema and hemorrhage. The hemodynamic profile on emergence is more favorable if a laryngeal mask airway (LMA) is inserted before neurosurgical patients emerge from anesthesia. We aimed to compare the impact of awakening neurosurgery patients after insertion of a ProSeal LMA to replace the endotracheal tube (ETT).
At the end of surgery, the anesthesiologist opened a sealed envelope labeled with
software-generated randomized numbers to learn the patient's assignment to one of two groups
to emerge from anesthesia with the ETT still in place or after it had been replaced by an
LMA.
Hemodynamic variables were recorded at 8 moments: baseline, in the operating room one minute
before anesthetic induction; 5 minutes after the end of surgery before awakening (ETT group)
or before tube replacement (LMA group); and 1, 5, 10, 15, 30 and 60 min after extubation or
LMA removal (according to group assignment).
;
Allocation: Randomized, Endpoint Classification: Safety Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Prevention
Status | Clinical Trial | Phase | |
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Completed |
NCT03484312 -
Hypertensive Urgency Treatment and Outcomes in a Northeast Thai Population
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