Changes in Cerebral Oxygenation During Laparoscopy in Patients With Single Ventricle Anatomy
| Status: | Withdrawn |
|---|---|
| Conditions: | Peripheral Vascular Disease, Cardiology |
| Therapuetic Areas: | Cardiology / Vascular Diseases |
| Healthy: | No |
| Age Range: | Any |
| Updated: | 8/8/2018 |
| Start Date: | November 2015 |
| End Date: | October 11, 2017 |
Patients with single ventricle physiology (hypoplastic left heart syndrome, tricuspid
atresia) frequently have feeding difficulties necessitating procedures such as Nissen
fundoplication and G-tube placement. With advances in minimally invasive surgery, these are
frequently performed using laparoscopic techniques. Although generally safe and effective,
the increase in IAP during laparoscopy may increase systemic and pulmonary vascular
resistance and decrease cardiac output. This prospective study will include 50 patients with
single ventricle physiology presenting for laparoscopic procedures. 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).
atresia) frequently have feeding difficulties necessitating procedures such as Nissen
fundoplication and G-tube placement. With advances in minimally invasive surgery, these are
frequently performed using laparoscopic techniques. Although generally safe and effective,
the increase in IAP during laparoscopy may increase systemic and pulmonary vascular
resistance and decrease cardiac output. This prospective study will include 50 patients with
single ventricle physiology presenting for laparoscopic procedures. 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).
Inclusion Criteria:
- Patients with single ventricle physiology presenting for laparoscopic procedures.
Exclusion Criteria:
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