Incidence , Risk Factors and Outcomes of Haemodynamic Instability and Cardiac Arrest During Spine Surgery
试验速览
- 阶段
- 不适用
- 入组人数
- 100
- 试验地点
- 1
- 主要终点
- Incidence of Haemodynamic Instability during Spine Surgery
研究概览
简要总结
Risk factors for cardiac arrest during spine surgery have been well defined, including lumbar fusion, age over 65 years, obesity, cardiovascular disease, ethnicity and ASA status. Bradycardia and asystole have been described under general anaesthesia in combined surgical cohorts: Proposed mechanisms include unopposed parasympathetic activation, enhanced vasovagal response to decreased venous return, and psychiatric stressors. The investigators prospectively will review patients candidates for spine surgery to explore potential incidence, contributory factors and outcomes to unexpected transient intraoperative haemodynamic instability, arrhythmia, and cardiac arrest during spine surgery as these data are needed to aid risk stratification and improve decision making for spine care teams.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
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
- •Aged more than 18
- •Gender: both.
- •ASA grade I-II (American society of anesthiologists).
- •Prepared to spine surgery under general anesthesia
排除标准
- •Ischemic heart patients
- •Hypertensive patients
- •Patients with atrial fibrillation or any previous history of attack of arrhythmias
- •Patients on B.B ( beta-blockers)
- •Chronic use of neuropsychiatric medications
- •Renal Impairment
- •Liver Dysfunction.
- •Any complications during the procedure as massive hemorrhage
- •Surgery for traumatic spinal cord
结局指标
主要结局
Incidence of Haemodynamic Instability during Spine Surgery
时间窗: allover one year
To calculate Incidence of Haemodynamic Instability during Spine Surgery
outcomes of Haemodynamic Instability during Spine Surgery
时间窗: allover one year
To calculate the rate of mortality of Haemodynamic Instability during Spine Surgery
Incidence of cardiac arrest during Spine Surgery
时间窗: allover one year
To calculate Incidence of cardiac arrest during Spine Surgery
Risk factors of cardiac arrest during Spine Surgery
时间窗: allover one year
To analyze risk factors of cardiac arrest during Spine Surgery
outcomes of Cardiac Arrest during Spine Surgery
时间窗: allover one year
To calculate the rate of mortality of cardiac arrest during Spine Surgery
Risk factors of Haemodynamic Instability during Spine Surgery
时间窗: allover one year
To analyze risk factors of Haemodynamic Instability during Spine Surgery
次要结局
未报告次要终点
研究者
Essamedin Mamdouh Negm
principal investigator
Zagazig University