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Improving Safety during Cancer Surgery: Investigating the Impact of Different Techniques of of Mechanical Ventilation on Blood Pressure Drops after Anesthesia - A Clinical Study

Not Applicable
Conditions
Health Condition 1: O- Medical and Surgical
Registration Number
CTRI/2023/06/054245
Lead Sponsor
MPMMCC Tata Memorial Centre Varanasi
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Closed to Recruitment of Participants
Sex
Not specified
Target Recruitment
0
Inclusion Criteria

Consenting patients of 18 - 65 years of age, of ASA Physical Status 1 and 2, posted for major cancer surgeries under general anesthesia with controlled mechanical ventilation, with or without regional analgesia.

Exclusion Criteria

Pregnant women, patients below 18 years of age, or above 65 years age.

Patients of ASA physical status 3, 4 and 5, or severe cardiovascular, respiratory, neurological, renal, hepatic, and coagulation disorders.

Patients posted for emergency surgeries.

Patients with fasting periods of more than 2 hours (continuing on clear fluids, after the last meal beyond 6 hours).

Patients whose airways are secured by tracheostomy or awake tracheal intubation, or rapid sequence induction and intubation, and patients with anticipated difficult airway.

Patients not willing to participate in the study.

Patients in whom regional analgesia is planned to be administered prior to induction of general anesthesia.

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Incidence of hypotension after induction of general anesthesiaTimepoint: Immediately after induction of general anesthesia, 1 minute, 2 minutes and 3 minutes after induction of general anesthesia
Secondary Outcome Measures
NameTimeMethod
End Tidal CO2 <br/ ><br>Oxygen saturation <br/ ><br>Heart rate <br/ ><br>Peak airway pressure <br/ ><br>Plateau airway pressure <br/ ><br>PEEP <br/ ><br>Total requirement (mg) of intravenous mephentermine injection to correct hypotension <br/ ><br>Any adverse effectsTimepoint: immediate preinduction, <br/ ><br>immediately after induction of general anesthesia, <br/ ><br>1 minute, <br/ ><br>2 minutes, <br/ ><br>3 minutes after induction of general anesthesia
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