Correlation between Blood Pressure during Pre-operative Anaesthetic Examinations and pre-intubation Blood Pressure-An Observational Study.
Trial Snapshot
- Phase
- Not Applicable
- Status
- Not yet recruiting
- Sponsor
- Enrollment
- 372
- Locations
- 1
- Primary Endpoint
- To evaluate the correlation of preintubation blood pressure with that of blood pressure measured before, during and after anaesthetic check up.
Study Overview
Brief Summary
Blood pressure (BP) is the lateral force of blood pushing against the walls of arteries and it is a fundamental cardiovascular variable. It is a major determinant of therapeutic decision, routinely measured in peri operative period.
Deviation from normal BP during general anaesthesia(GA) has been clearly linked to several adverse outcomes, so it is critically important for excellent outcomes in health care. BP measured before induction/intubation is the easiest to refer as baseline BP.Many studies showed white coat hypertension (WCH) is associated with an unfavourable metabolic risk factor profile, asymptomatic organ damage, and a greater risk of future progression to high cardiovascular risk and fatal events---leading in conclusion that WCH is not clinically innocent.If WCH affects pre intubation BP as reported, a certain similar effect could be present in preoperative examination by Anaesthesiologists. Unfortunately, not many studies has been done evaluating the relationship between preoperative BP measured in clinic during preanesthetic check-up and pre intubation for GA.Hence we intend to carry out this study to examine correlation between pre intubation BP and BP measured at different times in preop period i.e. before, during, and after anaesthesiologist’s examination.
PRIMARY OBJECTIVE:
To evaluate the correlation of preintubation blood pressure with that of blood pressure measured before,during and after anaesthetic check up.
SECONDARY OBJECTIVE:
To evaluate the difference of preintubation BP with that of BP measured before , during and after anaesthetic check up in controlled hypertensives vs non hypertensive patients.​
REFERENCES
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pressure during anesthetic examinations and pre-intubation blood pressure. BMC
Anesthesiol 24, 89 (2024). https://doi.org/10.1186/s12871-024-02477-x
Anesthesiol 24, 89 (2024). https://doi.org/10.1186/s12871-024-02477-x
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Study Design
- Study Type
- Observational
Eligibility Criteria
- Ages
- 18.00 Year(s) to 60.00 Year(s) (—)
- Sex
- All
Inclusion Criteria
- •Patients in American Society Of Anaesthesiologists (ASA) I , II grade 2)Patients between age-18-60 years 3)Elective surgical cases.
Exclusion Criteria
- •Patients with uncontrolled Hypertension 2) Patients with valvular heart diseases 3) Patients with Cardiomyopathies 4) Patients with Sympathetic overactivity 5) Patients suffering from Secondary causes of hypertension 6)Emergency surgical cases 7)Pregnant patients 8)Patients with history of any Substance abuse 9)Patients on Psychotropic medications 10) Patients with documented malnutrition.
Outcomes
Primary Outcomes
To evaluate the correlation of preintubation blood pressure with that of blood pressure measured before, during and after anaesthetic check up.
Time Frame: Measurements of Blood | pressure taken 5 minutes before pre- anaesthetic examination, during pre-anaesthetic examination, and 5 minutes after Pre-Anaesthetic examination and immediately before intubation.
Secondary Outcomes
- To evaluate the difference of preintubation BP with that of BP measured before, during & after anaesthetic check-up in Controlled hypertensives vs non hypertensives.(Measurements of BP taken 5 minutes before Pre-Anaesthetic check up, during Pre-)
Investigators
Dr Moumita Das
Gauhati Medical College and Hospital
