Postoperative Pain

Spinal anesthesia

Post-operative Outcomes in the Pyloromyotomy Procedure Under Spinal Anesthesia

Post-operative Outcomes in the Pyloromyotomy Procedure Under Spinal Anesthesia: A Retrospective Study in 100 Cases

LUIS.GAITINI

M.D.

Bnai Zion Medical Center

Specify all types of biospecimens to be retained (e.g., whole blood, serum, white cells, urine, tissue)

Endoscopic Sinus Surgery

Chronic Rhinosinusitis

Icahn School of Medicine

Large Scale Cerebral Oximetry During Sinus Endoscopy

Post-operative Quality of Recovery Scale to assess cognitive delay in patients undergoing sinus surgery

Increased incidence of nausea/vomiting post-operatively in patients with cerebral desaturation during the course of sinus surgery

Incidence of post-operative pain experienced in patients with cerebral desaturation during the course of sinus surgery

Icahn School of Medicine at Mount Sinai

arterial pCO2 of 3.5 kPa or 26.3 mmHg
hypocapnia

Hypocapnia

arterial PCO2 of 6.5-7.0 kPa or 48.8-52.5 mmHg
normocapnia

Normocapnia

Total

Sex: Female, Male

Region of Enrollment

During a procedure, the surgical condition will be scored by one surgeon using a 5-point surgical rating scale. The rating scale is a 5-point ordinal scale ranging from 1 = poor condition to 5 = optimal surgical conditions. The surgeon will score the condition at 15 minute intervals.The values given on the surgical rating scale are averaged and the average value is used in the data analysis.

Surgical Rating Scale

Hemodynamic conditions are studied during low arterial CO2 concentration and normal arterial CO2 concentration. The average of the measured mean arterial pressures at 15 minute intervals during anesthesia are presented

Hemodynamics

The effect of low versus normal pCO2 concentrations on the postoperative respiratory function will be studied. Postoperative saturations are obtained at 15 minutes intervals. The data are averaged over time.

Respiratory Function

The effect of low versus normal pCO2 concentrations on postoperative pain will be studied. Painscores are obtained at 15 minutes intervals and are expressed as a number on a 10 point scale (numeric rating scale; 1 (low)-10(maximum)). The data is avaraged over time

Pain Intensity on an 11-point Scale in the Postoperative Period

The effect of low versus normal pCO2 concentrations on postoperative sedation will be studied using the using the validated Leiden Observer's Assessment of Alertness/Sedation (0 (awake) - 6 (unarousable)) scale at 15 min intervals. The data are averaged over time.

Sedation

The effect of low versus normal pCO2 concentrations on the incidence of postoperative nausea will be studied. The incidence is expressed as the percentage of people experiencing nausea per arm.

Nausea

The effect of low versus normal pCO2 concentrations on the incidence of postoperative vomiting will be studied. The incidence of vomiting is expressed as a precentage of the patients per arm.

Vomiting

Overall Study

Albert Dahan

Prostate Cancer

Renal Cancer

Hyperventilation to the level of hypocapnia

hypocapnia

Normal ventilation to the level of nromocapnia

normocapnia

Leiden University Medical Center

Effect of Neuromuscular Block and Arterial PCO2 on Surgical Rating Scale (SRS), Following Reversal With Sugammadex

Effect of Deep Neuromuscular Block and Variations in Arterial PCO2 on the Surgical Rating Scale (SRS), Extubation Conditions and Postoperative Conditions Following Reversal With Sugammadex

Prof. Dr.

Merck Sharp & Dohme Corp.

Patients will be ventilated to an ETCO2 of 30-32 mm Hg.

Patients will be ventilated to an ETCO2 of 40-42 mm Hg

Hypocapnic Group

Normocapnic Group

Cerebral desaturation events were measured with near-infrared spectroscopy

hyperventilation/zvracení

Post-operative Outcomes in the Pyloromyotomy Procedure Under Spinal Anesthesia

Large Scale Cerebral Oximetry During Sinus Endoscopy

Effect of Neuromuscular Block and Arterial PCO2 on Surgical Rating Scale (SRS), Following Reversal With Sugammadex

The Effect of Ventilation on Cerebral Oxygenation in the Sitting Position

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