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N/A N=57 Randomized Prevention

Ventilation Strategies, Anesthetic Techniques and Cerebral Oxygenation in the Beach Chair Position

Stroke

Enrolled (actual)
57
Serious AEs
0.0%
Results posted
Apr 2022
Primary outcome: Primary: Change in Regional Cerebral Oxygenation (rSO2) Before and 5 Minutes After Each Change in Ventilation Strategy — -4.27; -0.70; -15.48; -10.90 Percent oxygen saturation

Study Design & Population

Study type
Interventional
Phase
N/A
Interventions
Inspired oxygen fraction / end tidal carbon dioxide (Other)
Age
Adult, Older Adult · 18+ yrs
Sex
All
Sponsor
University of Michigan
Primary completion
Sep 2014

Outcome Measures

OutcomeResultp-value
PRIMARY
Change in Regional Cerebral Oxygenation (rSO2) Before and 5 Minutes After Each Change in Ventilation Strategy
-4.27; -0.70; -15.48; -10.90; -8.31; -3.14
PRIMARY
Regional Cerebral Oxygenation (rSO2) Values
67; 69; 59; 62; 64; 67 <0.001 sig

Summary

The seated or "beach chair" position during surgery and general anesthesia decreases brain oxygen levels and can result in stroke. As such, poor neurological outcome following beach chair positioning is a growing concern. In the proposed study the investigators test the hypothesis that changes in ventilation strategy and anesthetic technique can affect cerebral oxygenation in anesthetized patients in the beach chair position.

Eligibility Criteria

Inclusion Criteria

  • scheduled for elective arthroscopic shoulder surgery in the beach chair position under general anesthesia with supplemental interscalene block

Exclusion Criteria

  • refusal to give consent
  • ineligible for interscalene block
  • history of cardiovascular disease
  • history of cerebrovascular disease
  • hypertension
  • respiratory failure
  • non-English speaker
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT01535274). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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