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Effect of Glycemic Control on Intraoperative NIRS and Postoperative Recovery in Diabetic Patients

RECRUITINGSponsored by Ege University
Actively Recruiting
SponsorEge University
Started2025-11-01
Est. completion2026-09
Eligibility
Age18 Years+
Healthy vol.Accepted
View on ClinicalTrials.gov →

NCT07491185

Summary

This prospective observational study aims to evaluate the effect of glycemic control level on intraoperative cerebral oxygenation measured by near-infrared spectroscopy (NIRS) and postoperative recovery in patients with diabetes mellitus undergoing elective urologic surgery under general anesthesia. Patients will be grouped according to HbA1c levels to assess the relationship between long-term glycemic control and intraoperative regional cerebral oxygen saturation, hemodynamic parameters, and postoperative recovery scores.

Eligibility

Age: 18 Years+Healthy volunteers accepted
Inclusion Criteria:

* Age ≥18 years
* Patients scheduled for elective urologic surgery under general anesthesia
* ASA physical status I-III
* Patients with diabetes mellitus or non-diabetic control patients
* Availability of preoperative HbA1c measurement
* Written informed consent obtained

Exclusion Criteria:

* Age \<18 years
* ASA physical status \>III
* Emergency surgery
* History of cerebrovascular disease or neurological disorder
* Previous brain or neurological surgery
* Inability to communicate or refusal to participate
* Intraoperative hemodynamic instability
* Inadequate NIRS monitoring data

Conditions5

AnesthesiaCerebral OxygenationDiabetesDiabetes MellitusGlycemic Control

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