Trials / Not Yet Recruiting
Not Yet RecruitingNCT06869304
The Effect of Steep Trendelenburg Position on Neurocognitive Functions in Robotic Radical Prostatectomy Cases
Examining the Effect of Steep Trendelenburg Position on Neurocognitive Functions With MoCA Test in Robotic-assisted Radical Prostatectomy Surgeries.
- Status
- Not Yet Recruiting
- Phase
- —
- Study type
- Observational
- Enrollment
- 56 (estimated)
- Sponsor
- Ankara City Hospital Bilkent · Academic / Other
- Sex
- Male
- Age
- 65 Years – 100 Years
- Healthy volunteers
- Accepted
Summary
The aim of this study is to evaluate the effects of the steep Trendelenburg position in robotic prostatectomy cases, where anesthesia depth is monitored using BIS and cerebral perfusion is tracked with NIRS, and to determine the incidence of neurocognitive dysfunction using the MoCA test in the postoperative period. Steep Trendelenburg position and CO₂ pneumoperitoneum during robotic radical prostatectomy lead to significant changes in intracranial pressure and cerebral oxygenation, which may contribute to postoperative neurocognitive dysfunction (POCD). Monitoring anesthesia depth with Bispectral Index (BIS) and cerebral perfusion with Near-Infrared Spectroscopy (NIRS) may help detect early neurocognitive changes, and MoCA test assessments will reveal a measurable decline in cognitive function postoperatively.
Conditions
- Neurocognitive Disorder
- Robotic Assisted Laparoscopic Radical Prostatectomy
- Near Infrared Spectroscopy
Interventions
| Type | Name | Description |
|---|---|---|
| DIAGNOSTIC_TEST | Montreal Cognitive Assessment | Preoperative and postoperative MoCA test scores |
Timeline
- Start date
- 2025-03-15
- Primary completion
- 2025-04-15
- Completion
- 2025-10-30
- First posted
- 2025-03-11
- Last updated
- 2025-03-11
Locations
1 site across 1 country: Turkey (Türkiye)
Source: ClinicalTrials.gov record NCT06869304. Inclusion in this directory is not an endorsement.