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Skull Pin Insertion clinical trials

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NCT ID: NCT03738059 Recruiting - Skull Pin Insertion Clinical Trials

The Lowest Effective Dose of Dexmedetomidine in Attenuating the Hemodynamic Responses During Skull Pin Insertion in Patients Undergoing Elective Craniotomy

Start date: November 15, 2018
Phase: Early Phase 1
Study type: Interventional

Skull pins are used to immobilize the head during craniotomy. Fixation of skull pins causes acute hemodynamic changes which may affect cerebral autoregulation and hence cerebral blood flow. Therefore, maintenance of stable hemodynamic parameters during skull pin placement under general anesthesia is crucial to ensure adequate cerebral perfusion and prevention of acute rise of intracranial pressure

NCT ID: NCT01056224 Completed - Skull Pin Insertion Clinical Trials

Effect of Remifentanil Boluses on Hemodynamics in Skull Pin Insertion

Start date: May 2005
Phase: N/A
Study type: Interventional

Skull pin insertion during craniotomies is a brief, intensely stimulating, painful stimuli occurring during the conduct of a neurosurgical or spine anesthetic. Remifentanil is an ultra short acting opioid that has been successfully used to blunt hemodynamic responses in a wide variety of clinical scenarios. It is our intention to ascertain the optimal dose for blunting the hemodynamic response to skull pin insertion using remifentanil.