Hypertension as a Reason for Concellation of Elective Minor Abdominal Surgery
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 120
- 试验地点
- 1
- 主要终点
- Incidence of surgery canceled due to high blood pressure figures in the operating room.
研究概览
简要总结
During the anesthesia outpatient consultation, patients proposed for minor abdominal surgery, known hypertensive patients are selected.
On the day of the procedure, we check the blood pressure figures. If the numbers are high: SBP ≥ 180 and/or PAD≥110: we start by a filling as well as a dose of 1 mg Midazolam IV and the blood pressure figures are re-evaluated. If 3 measurements blood pressure figures remain above the threshold values: Surgery is postponed and the patient will be included to group (A) for canceled. If the blood pressure figures are correct, the surgery is accepted and the patient will be included in the group (NA) for not canceled.
详细描述
During the anesthesia outpatient consultation, patients proposed for minor abdominal surgery, known hypertensive patients are selected. If the blood pressure figures are balanced in the previous 12 months, they are included in the study and the anesthesiologist informs them of the study protocol and obtains their consent.
On the day of the procedure, the patient is admitted to the operating room. We begin warming the patient and carry out standard monitoring, then, we check the blood pressure figures. If the numbers are high: SBP ≥ 180 and/or PAD≥110: we start by a filling as well as a dose of 1 mg Midazolam IV and the blood pressure figures are re-evaluated. If 3 measurements blood pressure figures remain above the threshold values: Surgery is postponed and the patient will be included to group (A) for canceled. If the blood pressure figures are correct, the surgery is accepted and the patient will be included in the group (NA) for not canceled.
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 90 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •patients aged 18 or over, consenting
- •known hypertensive patients.
- •Patients proposed for planned minor abdominal surgery (≤ 2 hours).
排除标准
- •patients not premedicated (antihypertensive treatment)
- •Non-inclusion criteria:
- •patient refusal .history of hypertensive emergency within 06 months.
研究组 & 干预措施
not canceled
Hypertensive patients proposed for minor abdominal surgery not canceled: whose blood pressure figures are correct.
canceled
Hypertensive patients proposed for minor abdominal surgery and canceled for high blood pressure numbers.
结局指标
主要结局
Incidence of surgery canceled due to high blood pressure figures in the operating room.
时间窗: In the operating room
In the operating room, if the blood pressure figures are high(according to BHS recommendations from 2016) the surgery is canceled
次要结局
- Score d'anxiété: Amsterdam Preoperative Anxiety and Information Scale (APAIS)(before entering the operating room)
- The quality of reception in the operating room(before entering the operating room)
- History of cancellation for hypertension in the operating room(Pre-operative, at the anesthesia consultation)
- specify the anti-hypertension molecule(Pre-operative, at the anesthesia consultation)
- Control and monitoring of hypertension Control and monitoring of hypertension Control and monitoring of hypertension(During the pre-anesthesia consultation)
- Entrance to the operating room: on foot, chair or trolley(before entering the operating room)
- Day of the week(before entering the operating room)
- Waiting time before entering the operating room (in minutes)(before entering the operating room)
研究者
HibetAllah Ktata
associate Professor
University Tunis El Manar