About this trial
The aim of this study is to investigate if it is feasible to use a protocol in which avoiding oxygen desaturation in the brain during general anaesthesia can reduce the risk of negative postoperative behavior changes in children.
We will recruit children from at least five centres around the world for this feasibility study. Brain oxygenation will be monitored with Near Red Infrascopy (NIRS) which is like a saturation monitor placed on the forehead of the child during anesthesia. The anesthesia is done as per routine, but we will ask the anesthesiologist to record what actions they took when there were signs of decreasing oxygen saturation in the brain. We will also ask the parents to fill in a questionnaire with 27 questions about changes in their child's behavior 7 days after the operation.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Children scheduled for both elective and non-elective, non-cardiac surgical procedures under general anaesthesia.
Disqualifiers
age < 6 months or ≥ 59 months
procedures requiring < 30 minutes of general anaesthesia
imaging procedures
procedures involving neurosurgery, oncology or burns
Trial population
Children undergoing routine general anesthesia
Trial design
Cohort
Prospective
Treatments tested in this trial
Near Red Infrascopy
Diagnostic testMonitor of regional cerebral oxygen saturation
Treatment groups
Trial outcomes
Primary outcomes
the incidence of technical problems with NIRS monitoring and the parental noncompliance with PHBQ reporting. Checklist
The primary outcome is the feasibility
Secondary outcomes
CrsO2
Cerebral regional oxygen saturation monitored with NIRS
Negative postoperative behavior changes (NPOBC)
Negative postoperative behavior changes detected by asking the parents to report changes of behavior assessed with the Post Hospitalization Behavior Questionnaire (PHBQ) at day 7 and day 30 postop
Sponsors and contacts
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Uppsala University
Lead sponsor
The University of Western Australia
Collaborator
University of Sao Paulo
Collaborator
Universitair Ziekenhuis Brussel
Collaborator
Uppsala County Council, Sweden
Collaborator
Istituto Giannina Gaslini
Collaborator
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