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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT06515080
Registration number
NCT06515080
Ethics application status
Date submitted
17/07/2024
Date registered
23/07/2024
Date last updated
25/03/2025
Titles & IDs
Public title
Predicting Outcomes Using Infra-red SEnsors, a Feasibility Study.
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Scientific title
Physiological Monitoring in the OR; Predicting Outcomes Using Infra-red SEnsors, a Feasibility Study.
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Secondary ID [1]
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PORPOISE Feasibility
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Universal Trial Number (UTN)
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Trial acronym
PORPOISE-F
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
General Anesthetic Drug Adverse Reaction
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Condition category
Condition code
Other
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Research that is not of generic health relevance and not applicable to specific health categories listed above
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Intervention/exposure
Study type
Observational
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Patient registry
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
Diagnosis / Prognosis - Near Red Infrascopy
Children/Anesthesia -
Diagnosis / Prognosis: Near Red Infrascopy
Monitor of regional cerebral oxygen saturation
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Intervention code [1]
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Diagnosis / Prognosis
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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the incidence of technical problems with NIRS monitoring and the parental noncompliance with PHBQ reporting. Checklist
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Assessment method [1]
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The primary outcome is the feasibility
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Timepoint [1]
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From the beginning of the anesthesia until 30 days postoperatively
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Secondary outcome [1]
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CrsO2
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Assessment method [1]
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Cerebral regional oxygen saturation monitored with NIRS
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Timepoint [1]
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From immediately before anesthesia induction until a few minutes after extubating up to 10 minutes
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Secondary outcome [2]
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Negative postoperative behavior changes (NPOBC)
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Assessment method [2]
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Negative postoperative behavior changes detected by asking the parents to report changes of behavior assessed with the Post Hospitalization Behavior Questionnaire (PHBQ) at day 7 and day 30 postop
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Timepoint [2]
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7 to 30 days postoperatively
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Eligibility
Key inclusion criteria
* Children scheduled for both elective and non-elective, non-cardiac surgical procedures under general anaesthesia.
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Minimum age
6
Months
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Maximum age
59
Months
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
* age < 6 months or = 59 months
* procedures requiring < 30 minutes of general anaesthesia
* imaging procedures
* procedures involving neurosurgery, oncology or burns
* procedures involving significant pain lasting for more than 1 week on average (e.g. tonsillectomies, major orthopaedic surgery)
* other procedures that limit access to the forehead
* children that are on supplemental oxygen, are sedated or intubated at the time of inclusion
* children with severe developmental delay
* procedures with planned postoperative intensive care or hospital stay > 3 days
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Study design
Purpose
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Duration
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Selection
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Timing
Prospective
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Statistical methods / analysis
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Recruitment
Recruitment status
Not yet recruiting
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
31/03/2025
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
31/07/2026
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Actual
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Sample size
Target
500
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
WA
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Recruitment hospital [1]
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Perth Children“s Hospital - Perth
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Recruitment postcode(s) [1]
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6009 - Perth
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Recruitment outside Australia
Country [1]
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Belgium
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State/province [1]
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Brussels
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Country [2]
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Brazil
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State/province [2]
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Sao Paolo
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Country [3]
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Italy
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State/province [3]
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Genova
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Country [4]
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Sweden
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State/province [4]
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Uppsala
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Funding & Sponsors
Primary sponsor type
Other
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Name
Uppsala University
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Address
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Country
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Other collaborator category [1]
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Other
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Name [1]
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The University of Western Australia
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Address [1]
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Country [1]
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Other collaborator category [2]
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Other
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Name [2]
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University of Sao Paulo
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Address [2]
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Country [2]
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Other collaborator category [3]
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Other
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Name [3]
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Universitair Ziekenhuis Brussel
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Address [3]
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Country [3]
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Other collaborator category [4]
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Government body
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Name [4]
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Uppsala County Council, Sweden
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Address [4]
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Country [4]
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Other collaborator category [5]
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Other
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Name [5]
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Istituto Giannina Gaslini
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Address [5]
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Country [5]
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Ethics approval
Ethics application status
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Summary
Brief summary
The aim of this study is to investigate if it is feasible to use a protocol in which avoiding oxygen desaturation in the brain during general anaesthesia can reduce the risk of negative postoperative behavior changes in children. We will recruit children from at least five centres around the world for this feasibility study. Brain oxygenation will be monitored with Near Red Infrascopy (NIRS) which is like a saturation monitor placed on the forehead of the child during anesthesia. The anesthesia is done as per routine, but we will ask the anesthesiologist to record what actions they took when there were signs of decreasing oxygen saturation in the brain. We will also ask the parents to fill in a questionnaire with 27 questions about changes in their child's behavior 7 days after the operation.
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Trial website
https://clinicaltrials.gov/study/NCT06515080
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Trial related presentations / publications
Spaeder MC, Keller JM, Sawda CN, Surma VJ, Platter EN, White DN, Smith CJ, Harmon WG. Implementation of a Regional Oxygen Saturation Thought Algorithm and Association with Clinical Outcomes in Pediatric Patients Following Cardiac Surgery. Pediatr Cardiol. 2023 Apr;44(4):940-945. doi: 10.1007/s00246-022-03071-z. Epub 2022 Dec 13. Gomez-Pesquera E, Poves-Alvarez R, Martinez-Rafael B, Liu P, Alvarez J, Lorenzo-Lopez M, Fierro I, Gomez-Sanchez E, Heredia-Rodriguez M, Gomez-Herreras JI, Tamayo E. Cerebral Oxygen Saturation and Negative Postoperative Behavioral Changes in Pediatric Surgery: A Prospective Observational Study. J Pediatr. 2019 May;208:207-213.e1. doi: 10.1016/j.jpeds.2018.12.047. Epub 2019 Feb 6. McCann ME, de Graaff JC, Dorris L, Disma N, Withington D, Bell G, Grobler A, Stargatt R, Hunt RW, Sheppard SJ, Marmor J, Giribaldi G, Bellinger DC, Hartmann PL, Hardy P, Frawley G, Izzo F, von Ungern Sternberg BS, Lynn A, Wilton N, Mueller M, Polaner DM, Absalom AR, Szmuk P, Morton N, Berde C, Soriano S, Davidson AJ; GAS Consortium. Neurodevelopmental outcome at 5 years of age after general anaesthesia or awake-regional anaesthesia in infancy (GAS): an international, multicentre, randomised, controlled equivalence trial. Lancet. 2019 Feb 16;393(10172):664-677. doi: 10.1016/S0140-6736(18)32485-1. Epub 2019 Feb 14. Erratum In: Lancet. 2019 Aug 24;394(10199):638. doi: 10.1016/S0140-6736(19)31958-0. Jevtovic-Todorovic V, Useinovic N. Early exposure to general anaesthesia and increasing trends in developmental behavioural impairments: is there a link? Br J Anaesth. 2023 Aug;131(2):208-211. doi: 10.1016/j.bja.2023.04.005. Epub 2023 May 10.
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Public notes
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Contacts
Principal investigator
Name
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Peter Frykholm, M.D., Ph.D.
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Address
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Uppsala University
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Peter Frykholm, M.D., Ph.D.
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Address
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Country
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Phone
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+46186171240
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Data sharing statement
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT06515080
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