The Newborn Project: Examining the Oxygenation of Brain Tissue During General Anesthesia
NCT ID: NCT03057587
Last Updated: 2018-11-14
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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WITHDRAWN
OBSERVATIONAL
2017-05-12
2018-04-27
Brief Summary
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Detailed Description
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In the post-operative period, patient data will be collected including: 1) any skin findings related to the placement of the NIRS or pulse oximetry probes 2) any unanticipated need for hemodynamic support, 3) laboratory values including hemoglobin levels, electrolytes, and blood gases, 4) new neurological findings (seizures etc.)
Conditions
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Study Design
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CASE_ONLY
PROSPECTIVE
Study Groups
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NIRS Monitoring
A NIRS sensor will be placed on the forehead of the patient upon entry to the operating room and will remain on, as tolerated, for the duration of surgery
NIRS Monitoring
NIRS data will be collected throughout the surgery
Interventions
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NIRS Monitoring
NIRS data will be collected throughout the surgery
Eligibility Criteria
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Inclusion Criteria
* Undergoing a scheduled or emergent procedure with anesthesia at Boston Children's Hospital
Exclusion Criteria
* Child has an allergy to medical grade adhesives or pre-existing skin irritation at the sensor site
* Scheduled for a cardiac procedure
* Patient's care team or patient's family declines participation
* American Society of Anesthesiologists (ASA) criteria of IV or greater
* Infants who are being treated with sympathomimetic medications intraoperatively
6 Months
ALL
No
Sponsors
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Boston Children's Hospital
OTHER
Responsible Party
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Mary Ellen McCann
MD, MPH
Principal Investigators
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Mary Ellen McCann, MD, MPH
Role: PRINCIPAL_INVESTIGATOR
Boston Children's Hospital
Locations
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Boston Children's Hospital
Boston, Massachusetts, United States
Countries
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References
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de Graaff JC, Pasma W, van Buuren S, Duijghuisen JJ, Nafiu OO, Kheterpal S, van Klei WA. Reference Values for Noninvasive Blood Pressure in Children during Anesthesia: A Multicentered Retrospective Observational Cohort Study. Anesthesiology. 2016 Nov;125(5):904-913. doi: 10.1097/ALN.0000000000001310.
Aly SA, Zurakowski D, Glass P, Skurow-Todd K, Jonas RA, Donofrio MT. Cerebral tissue oxygenation index and lactate at 24 hours postoperative predict survival and neurodevelopmental outcome after neonatal cardiac surgery. Congenit Heart Dis. 2017 Mar;12(2):188-195. doi: 10.1111/chd.12426. Epub 2016 Nov 10.
Razlevice I, Rugyte DC, Strumylaite L, Macas A. Assessment of risk factors for cerebral oxygen desaturation during neonatal and infant general anesthesia: an observational, prospective study. BMC Anesthesiol. 2016 Oct 28;16(1):107. doi: 10.1186/s12871-016-0274-2.
Michelet D, Arslan O, Hilly J, Mangalsuren N, Brasher C, Grace R, Bonnard A, Malbezin S, Nivoche Y, Dahmani S. Intraoperative changes in blood pressure associated with cerebral desaturation in infants. Paediatr Anaesth. 2015 Jul;25(7):681-8. doi: 10.1111/pan.12671. Epub 2015 Apr 30.
Other Identifiers
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IRB-P00021194
Identifier Type: -
Identifier Source: org_study_id
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