NCT03389139

Brief Summary

Neonatal adaptation to extrauterine life has many physiological changes in neonatal organ systems. These adaptative changes may be affected such as type of delivery and anesthesia management at birth. near infrared spectroscopy (NIRS) is a popular non-invasive method that can be used in newborns thus monitorize tissue oxygenation regularly. In this study we have purposed to compare the effects of general anesthesia versus spinal anesthesia on newborn's cerebral and renal oxygenation in elective cesarean operations

Trial Health

100
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
60

participants targeted

Target at P25-P50 for not_applicable

Timeline
Completed

Started Jan 2017

Shorter than P25 for not_applicable

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

January 1, 2017

Completed
5 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 1, 2017

Completed
2 months until next milestone

Study Completion

Last participant's last visit for all outcomes

August 1, 2017

Completed
5 months until next milestone

First Submitted

Initial submission to the registry

December 19, 2017

Completed
15 days until next milestone

First Posted

Study publicly available on registry

January 3, 2018

Completed
Last Updated

July 20, 2023

Status Verified

July 1, 2023

Enrollment Period

5 months

First QC Date

December 19, 2017

Last Update Submit

July 19, 2023

Conditions

Keywords

Cesareannewborncerebral and renal oxygenationanesthesia

Outcome Measures

Primary Outcomes (1)

  • Change in renal and cerebral regional oxygenation (rSO2) in newborn

    Assessed at third and fifth minutes and then every 5 minutes after birth

    60 minutes after birth

Secondary Outcomes (5)

  • preductal SpO2

    60 minutes after birth

  • postductal SpO2

    60 minutes after birth

  • perfusion index

    60 minutes after birth

  • body temperature

    60 minutes after birth

  • apgar scores

    1st and 5th minute after birth

Study Arms (2)

spinal anesthesia

ACTIVE COMPARATOR

Patients in this group were randomized to receive spinal anesthesia. (Near infrared spectroscopy (spinal anesthesia))

Device: Near infrared spectroscopy (spinal anesthesia)

general anesthesia

ACTIVE COMPARATOR

Patients in this group were randomized to receive general anesthesia. (Near infrared spectroscopy (general anesthesia)).

Device: Near infrared spectroscopy (general anesthesia)

Interventions

effect of spinal anesthesia on regional renal and cerebral oxygen saturation in newborns

spinal anesthesia

effect of general anesthesia on regional renal and cerebral oxygen saturation in newborns

general anesthesia

Eligibility Criteria

Age18 Years - 50 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64)

You may qualify if:

  • patients who undergo elective cesarean
  • American Society of Anesthesiologists class 1 to 2
  • Ability to consent
  • Gestational age: from 37 to 41 weeks

You may not qualify if:

  • Pulmonary disease
  • History of allergic reaction to local anaesthetics
  • Peripheral neuropathy
  • Neurologic disease
  • Coagulation disorders
  • newborns with anomalies
  • low birth weight newborns
  • newborns needing neonatal resuscitation

Contact the study team to confirm eligibility.

Sponsors & Collaborators

MeSH Terms

Interventions

Spectroscopy, Near-InfraredAnesthesia, SpinalAnesthesia, General

Intervention Hierarchy (Ancestors)

Diagnostic ImagingDiagnostic Techniques and ProceduresDiagnosisSpectrum AnalysisChemistry Techniques, AnalyticalInvestigative TechniquesAnesthesia, ConductionAnesthesiaAnesthesia and Analgesia

Study Officials

  • Ulku Arslan, MD

    Antalya Training and Research Hospital

    STUDY DIRECTOR
  • Nilgun Kavrut Ozturk, MD

    Antalya Training and Research Hospital

    PRINCIPAL INVESTIGATOR
  • Ali Sait Kavakli, MD

    Antalya Training and Research Hospital

    PRINCIPAL INVESTIGATOR
  • Ozge Dagdelen, MD

    Antalya Training and Research Hospital

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
TRIPLE
Who Masked
PARTICIPANT, CARE PROVIDER, OUTCOMES ASSESSOR
Purpose
PREVENTION
Intervention Model
PARALLEL
Sponsor Type
OTHER GOV
Responsible Party
SPONSOR

Study Record Dates

First Submitted

December 19, 2017

First Posted

January 3, 2018

Study Start

January 1, 2017

Primary Completion

June 1, 2017

Study Completion

August 1, 2017

Last Updated

July 20, 2023

Record last verified: 2023-07