Laparoscopy Clinical Trial
Official title:
Changes in Cerebral Oxygenation Studies Carried Out With the Use of Non-invasive Time-resolved Near-infrared Spectroscopy Device in Patients Undergoing Laparoscopy Procedure
The motivation results from the fact, that an intra-abdominal pressure is correlated with
cerebral perfusion, in a mechanism of reducing venous outflow. Moreover, elevated
intra-abdominal pressure leads to increase in intracranial pressure and decrease of cerebral
perfusion pressure.
The main aim of the study was to investigate an influence of increase in intra-abdominal
pressure on cerebral oxygenation measured with the use of non-invasive optical technique.
The investigators applied time resolved near infrared spectroscopy device in order to
estimate changes in hemoglobin concentration in a brain during gynecological procedure that
involves laparoscopy. The optodes were positioned on a forehead on left and right hemisphere.
The measurements were carried out during whole medical procedure, including anesthesia, start
and stop of insufflation of abdominal cavity with carbon dioxide (CO2), surgical procedure,
release of CO2 and waking up a patient. In those studies the special emphasis was put on a
period of insufflation of abdominal cavity with CO2.
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