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Decreased cerebral oxygen saturation (rSO2) was reported to occur during insufflation for laparoscopic procedures due to increased Intracranial pressure (ICP) with resultant decrease in cerebral perfusion pressure.
Forty patients scheduled for laparoscopic cholecystectomy will be enrolled in this double blind, randomized controlled study. Patients will receive either 0.5g/kg of 20% intravenous (i.v.) mannitol infusion over 10 minutes immediately before induction of anesthesia (group M) or an equal volume of 0.9% normal saline instead (group C). Primary outcome measure is rSO2. Secondary outcome variables include extubation time, clinical assessment of consciousness recovery using the modified Observer's assessment of alertness/sedation scale (OAA/S) and the mini-mental state examination (MMSE) for cognitive evaluation after recovery.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Mannitol | Experimental | Patients will receive 0.5g/kg of 20% intravenous (i.v.) mannitol infusion over 10 minutes immediately before induction of anesthesia |
|
| Control | Placebo Comparator | Patients will receive normal saline |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Mannitol | Drug | 0.5g/kg of 20% intravenous (i.v.) mannitol infusion over 10 minutes immediately before induction of anesthesia |
|
| Measure | Description | Time Frame |
|---|---|---|
| rSO2 | participants will be followed for the duration of surgery, an expected average of 1 hour |
| Measure | Description | Time Frame |
|---|---|---|
| extubation time | time from end of anesthesia to fulfilling extubation criteria | intraoperative |
| Measure | Description | Time Frame |
|---|---|---|
| OAA/S | alertness/sedation scale | after surgery 30 minutes. |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Hany A Mowafi, MD | Imam Abdulrahman Bin Faisal University | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Anesthesia Department, University of Dammam | Khobar | EP | 31952 | Saudi Arabia | ||
| King Fahd Hosital of the University |
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| ID | Term |
|---|---|
| D008353 | Mannitol |
| D012965 | Sodium Chloride |
| ID | Term |
|---|---|
| D013402 | Sugar Alcohols |
| D000438 | Alcohols |
| D009930 | Organic Chemicals |
| D002241 | Carbohydrates |
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| Control | Drug | Saline infusion |
|
|
| Khobar |
| EP |
| 31952 |
| Saudi Arabia |
| D002712 |
| Chlorides |
| D006851 | Hydrochloric Acid |
| D017606 | Chlorine Compounds |
| D007287 | Inorganic Chemicals |
| D017670 | Sodium Compounds |