INFERIOR VENA CAVA COLLAPSIBILITY INDEX (IVC-CI) GUIDED FLUID THERAPY: COMPARATIVE EFFICACY OF TWO DIFFERENT CUTOFF VALUES IN PREVENTING SPINAL ANESTHESIA-INDUCED HYPOTENSION IN PATIENTS UNDERGOING ORTHOPAEDIC LOWER LIMB SURGERIES
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 发起方
- 入组人数
- 264
- 试验地点
- 1
研究概览
简要总结
Post spinal Anesthesia hypotension is one of the common complications encountered after sub arachnoid block. Preloading with crystalloid fluid is a common practice to prevent post spinal anesthesia hypotension but it carries risk of fluid overload particularly in elderly and cardiac patients . Hence there is a need for Goal Directed Fluid Therapy to specifically target patients who are fluid responsive . Inferior vena cava collapsibility index is one of the proxy marker to assess the fluid status of the patients. In this study we are going to compare two cut off values of IVCCI for fluid therapy that is 35 percent , which is more sensitive and 45 percent , which is more specific . After the conclusion of the study , we will be able to determine which cut off value is better indicator for goal directed fluid therapy to prevent post spinal anesthesia hypotension.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 盲法
- Participant, Investigator and Outcome Assessor Blinded
入排标准
- 年龄范围
- 18.00 Year(s) 至 65.00 Year(s)（—）
- 性别
- All
入选标准
- •1.Age between 18 and 65 years.
- •2.ASA Physical Status classification I or II.
- •Scheduled for elective lower limb orthopedic surgery that is anticipated to require spinal anesthesia and last less than 3 hours.
- •Able to breathe spontaneously and cooperate fully with the ultrasound measurement protocol.
排除标准
- •1.Contraindications to spinal anesthesia (for example coagulopathy, infection at the puncture site)
- •Pregnancy or lactation
- •Patient’s refusal to participate in study
- •Patients whose IVCCI could not be assessed (poor visibility of IVC, non-co-operative patients.
研究者
SHAIK MOINUDDIN
AIIMS Gorakhpur