Controlled hypotension is currently used in spinal surgery to reduce bleeding at the surgical site, improve the surgeon's visibility, and decrease intraoperative blood loss. Although controlled hypotension is considered a beneficial method from a surgical perspective, it is important to be cautious about its side effects. One such side effect is cerebral perfusion insufficiency, which can be managed by monitoring cerebral circulation through regional cerebral oxygen saturation (rSO2). The aim of this study is to compare the effects of controlled hypotension at specific MAP ranges on cerebral oxygen saturation.
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Near infrared spectroscopy (NIRS)
Timeframe: 5 minutes before induction of anesthesia
Near infrared spectroscopy (NIRS)
Timeframe: 5 minutes after intubation
Near infrared spectroscopy (NIRS)
Timeframe: 5 minutes after positioning prone
Near infrared spectroscopy (NIRS)
Timeframe: 1 minutes after first surgical incision is made
Near infrared spectroscopy (NIRS)
Timeframe: the time after one minutes target MAP value
Near infrared spectroscopy (NIRS)
Timeframe: the time after ten minutes target MAP value
Near infrared spectroscopy (NIRS)
Timeframe: the time after 20 minutes target MAP value
Near infrared spectroscopy (NIRS)
Timeframe: 5 minutes after extubation
Near infrared spectroscopy (NIRS)
Timeframe: postextubation after 15 minutes