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Principal Investigator moved to another institution.
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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).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Single ventricle | Patients with single ventricle physiology presenting for laparoscopic procedures. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| NIRS | Device | Cerebral oxygenation monitor which is standard of care for this surgery. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Change in cerebral oxygenation values | Measured on the NIRS cerebral oxygenation monitor attached to the patient. | From baseline to insufflation (average time frame of 30 mins. - 2 hrs.) |
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Inclusion Criteria:
Exclusion Criteria:
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Patients with single ventricle anatomy
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| Name | Affiliation | Role |
|---|---|---|
| Roby Sebastian, MD | Nationwide Children's Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Nationwide Children's Hospital | Columbus | Ohio | 43205 | United States |
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| ID | Term |
|---|---|
| D006330 | Heart Defects, Congenital |
| D000080039 | Univentricular Heart |
| ID | Term |
|---|---|
| D018376 | Cardiovascular Abnormalities |
| D002318 | Cardiovascular Diseases |
| D006331 | Heart Diseases |
| D000013 | Congenital Abnormalities |
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| D009358 | Congenital, Hereditary, and Neonatal Diseases and Abnormalities |