Intraoperative Focused TTE - Impact on High Risk Patients´ Management in Hemodynamic Instabilities
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 50
- 试验地点
- 2
- 主要终点
- Change of patients´ management
研究概览
简要总结
Focused transthoracic echocardiography (TTE) is a technique, which allows quick and non-invasive diagnosis and monitoring in hemodynamic instable patients. There are preliminary data supporting the hypothesis that TTE is feasible in the operating theatre.
The purpose of this study is to test the hypothesis that intraoperative focused TTE has an impact on high risk patients´ management when it is added to standard extended monitoring practices in hemodynamic instabilities.
详细描述
Focused TTE is en emerging matter in anesthesia, intensive care and emergency medicine. The value of intraoperative TTE is unclear. There are preliminary data that it is feasible For intraoperative transesophageal echocardiography (TEE) an impact on cardiac and non-cardiac surgery patients´ management has been shown.
Purpose of this study is to evaluate the application of focused TTE in patients with increased perioperative risk undergoing moderate to high risk surgery who become hemodynamic instable during anesthesia in the operating theatre.
When hemodynamic instability under anesthesia occurs focused TTE is conducted and the obtained diagnostic information are used for further patient management. Any change in management or therapy will be recorded.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •gender: male, female
- •Age ≥ 18 years
- •increased perioperative risk, at least one of the following:
- •coronary artery disease
- •congestive heart disease
- •insulin dependent diabetes mellitus
- •renal insufficiency, creatinine > 2,0 mg/dl
- •cerebrovascular disease
- •Procedure with at least moderate increased risk
- •intraperitoneal surgery
- •intrathoracal surgery
- •major orthopedic/traumatologic surgery
- •prostatic surgery
- •vascular surgery
- •Hemodynamic instability, at least one of the following:
- •Hypotension (systolic blood pressure < 80 mmHg or mean blood pressure <50 mmHg) and/or
- •Bradycardia < 45/min. orr Tachycardia > 120/min and/or
- •Cardiac index < 2,0 l/min/m2
排除标准
- •cardiac surgery
结局指标
主要结局
Change of patients´ management
时间窗: at time of anesthesia / surgery
Recordings of TTE findings influencing change of patient´s management in the operating theatre
次要结局
未报告次要终点
研究者
Dr. Thomas Kratz
Dr. Thomas Kratz
Philipps University Marburg Medical Center