Status:

RECRUITING

CEReBral AutorEgulation in Non-cardiac SuRgery and Relationship to Postoperative DeliriUm State

Lead Sponsor:

Beth Israel Deaconess Medical Center

Conditions:

Perioperative/Postoperative Complications

Postoperative Cognitive Dysfunction

Eligibility:

All Genders

60+ years

Brief Summary

The goal of this observational study is to learn the how to determine the mean arterial pressure(MAP) or blood pressure level to be maintained during non-cardiac surgery for optimal brain health in pa...

Detailed Description

Study Procedures: Pre-operative: 1. Assessment by an anesthesiologist, and brief patient education about cerebral autoregulation and post-operative delirium. 2. MOCA baseline cognitive assessment by...

Eligibility Criteria

Inclusion

  • Age ≥ 60 years
  • Undergoing any non-cardiac surgeries including but not limited to vascular, hepatobiliary, or complex spine surgeries requiring general anesthesia with arterial catheterization for monitoring

Exclusion

  • Non-English speaking (Justification: cognitive assessment instruments are not validated in a sufficient range of languages, and the research team lacks polylingual capabilities or the financial resources to hire interpreters for the duration of all proposed assessments.)
  • Cognitive impairment as defined by total MoCA score \< 10 (justification: baseline cognitive dysfunction will confound primary outcome measure)
  • Significant visual impairment (justification: will be difficult for patients to draw individual components in MOCA score)
  • Emergent surgery (justification: insufficient time to initiate intervention)
  • History of stroke within the last 3 months (justification: cognitive dysfunction secondary to stroke can confound outcome measures

Key Trial Info

Start Date :

April 17 2024

Trial Type :

OBSERVATIONAL

Allocation :

ESTIMATED

End Date :

July 1 2027

Estimated Enrollment :

100 Patients enrolled

Trial Details

Trial ID

NCT06133842

Start Date

April 17 2024

End Date

July 1 2027

Last Update

October 28 2025

Active Locations (1)

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1

Beth Israel Deaconess Medical Center

Boston, Massachusetts, United States, 02215