Status:

UNKNOWN

Effect of PEEP on Subdural Pressure, Optic Nerve Sheath Diameter, Lung Compliance and Brain Perfusion Pressure

Lead Sponsor:

Istanbul University

Conditions:

Supratentorial Neoplasms

Anesthesia, General

Eligibility:

All Genders

18-70 years

Phase:

NA

Brief Summary

We aim to determine the level of intraoperative PEEP that optimizes lung compliance without causing a rise in subdural pressure and if we can utilize optic nerve sheath diameter measurement as an indi...

Detailed Description

Application of positive end-expiratory pressure (PEEP) during general anesthesia minimizes ventilation/perfusion mismatch, intraoperative atelectasis and postoperative pulmonary complications. PEEP ap...

Eligibility Criteria

Inclusion

  • Supratentorial tumor
  • Elective surgery
  • American Society of Anesthesiologist Class I, II or III

Exclusion

  • Midline shift more than 5 mm determined by intracranial imaging
  • Initial subdural pressure higher than 20 mmHg
  • Requiring intravenous mannitol or hypertonic saline treatment before dural opening
  • Congestive heart failure
  • Pulmonary hypertension
  • Sepsis
  • Hypovolemia
  • Obstructive or restrictive lung disease

Key Trial Info

Start Date :

March 1 2020

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

September 1 2021

Estimated Enrollment :

50 Patients enrolled

Trial Details

Trial ID

NCT04316208

Start Date

March 1 2020

End Date

September 1 2021

Last Update

March 20 2020

Active Locations (1)

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Istanbul University - Cerrahpasa, Department of Neurosurgery, Neurosurgical Theaters

Istanbul, Turkey (Türkiye), 34098