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The aim of our study is to observe the effect of head-neck position of patients scheduled for thyroidectomy, on carotid artery blood flow, regional cerebral oxygen saturation measured using near-infrared spectroscopy technology, and postoperative cognitive dysfunction.
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Carotis Doppler Ultrasound | Procedure | Neck was rotated about 30-45 ° to the opposite side of the image. The common carotid artery and internal jugular vein were viewed transversely on the B Mode USG image. Then, the probe was rotated approximately 90 ° and the carotid artery was visualized in the longitudinal plane. The probe and guide line were adjusted so that the Doppler angle was 60 °. The image was created with the guiding line parallel to the blood flow. After imaging of the carotid artery bifurcation, measurements were made 1 cm distal to this level. |
| Measure | Description | Time Frame |
|---|---|---|
| Changes in cognitive functions | determine cognitive dysfunction using mini mental state examination | 3 months after surgery |
| Measure | Description | Time Frame |
|---|---|---|
| Changes in Cerebral Perfusion | Changes in main carotid artery blood flow and cerebral oxygenation by using carotid doppler | during surgery |
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Inclusion Criteria:
Exclusion Criteria:
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Patients between the ages of 18-50 who will undergo total thyroidectomy under general anesthesia due to elective thyroid cancer, Hashimoto's thyroiditis or thyrotoxicosis, in the American Society of Anesthesiologists (ASA) I-II risk group, who are euthyroid in the preoperative period
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Zonguldak Bülent Ecevit University Medicine Faculty | Zonguldak | Kozlu | 67600 | Turkey (Türkiye) |
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| ID | Term |
|---|---|
| D013959 | Thyroid Diseases |
| D000079690 | Postoperative Cognitive Complications |
| ID | Term |
|---|---|
| D004700 | Endocrine System Diseases |
| D011183 | Postoperative Complications |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| D060825 | Cognitive Dysfunction |
| D003072 | Cognition Disorders |
| D019965 | Neurocognitive Disorders |
| D001523 | Mental Disorders |