Changes in Cerebral Oxygenation During Laparoscopic Pyloromyotomy
| Status: | Completed |
|---|---|
| Conditions: | Gastrointestinal |
| Therapuetic Areas: | Gastroenterology |
| Healthy: | No |
| Age Range: | Any - 18 |
| Updated: | 10/14/2018 |
| Start Date: | July 7, 2017 |
| End Date: | October 8, 2018 |
A prospective study that will assess the effect of laparoscopy on tissue oxygenation in the
patients undergoing a laparoscopic pyloromyotomy at Nationwide Children's Hospital. Tissue
oxygenation will be assessed non-invasively using near infrared spectroscopy, a device that
is commonly used in our operating rooms to assess cerebral and tissue oxygenation.
patients undergoing a laparoscopic pyloromyotomy at Nationwide Children's Hospital. Tissue
oxygenation will be assessed non-invasively using near infrared spectroscopy, a device that
is commonly used in our operating rooms to assess cerebral and tissue oxygenation.
This prospective study will include 50 patients under the age of 18 years who are having
laparoscopic pyloromyotomy. There will be no change in the anesthetic or perioperative care
of these patients. Tissue and cerebral oxygenation will be monitored using near infrared
spectroscopy (NIRS). Prior to anesthetic induction, the NIRS monitor will be placed on the
forehead. The device is non-invasive like pulse oximetry using a non-painful adhesive
sticker. The device can be applied to different sites on the body to measure cerebral, tissue
or even organ oxygenation. For the purpose of the study, the investigators will place one
monitor on the forehead to measure tissue oxygenation and a second over the lower back to
measure tissue (muscle or renal) oxygenation. These devices are used routinely in the
operating room and the cardiothoracic intensive care unit for cardiac patients. Although not
used on every surgical procedure, NIRS monitoring can be used on all patients who are
undergoing major surgical procedures. Tissue and cerebral oxygenation will be recorded
continuously starting just prior to anesthetic induction until the completion of the
procedure.
laparoscopic pyloromyotomy. There will be no change in the anesthetic or perioperative care
of these patients. Tissue and cerebral oxygenation will be monitored using near infrared
spectroscopy (NIRS). Prior to anesthetic induction, the NIRS monitor will be placed on the
forehead. The device is non-invasive like pulse oximetry using a non-painful adhesive
sticker. The device can be applied to different sites on the body to measure cerebral, tissue
or even organ oxygenation. For the purpose of the study, the investigators will place one
monitor on the forehead to measure tissue oxygenation and a second over the lower back to
measure tissue (muscle or renal) oxygenation. These devices are used routinely in the
operating room and the cardiothoracic intensive care unit for cardiac patients. Although not
used on every surgical procedure, NIRS monitoring can be used on all patients who are
undergoing major surgical procedures. Tissue and cerebral oxygenation will be recorded
continuously starting just prior to anesthetic induction until the completion of the
procedure.
Inclusion Criteria:
- Children at Nationwide Children's Hospital under the age of 18 years who are having
laparoscopic pyloromyotomy
Exclusion Criteria:
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