Romanian Entropy Clinical Study Network
试验速览
- 阶段
- 不适用
- 发起方
- 入组人数
- 500
- 试验地点
- 1
- 主要终点
- Change of systolic blood pressure baseline
研究概览
简要总结
The critically ill patient is one of the most complex cases with regard to the optimization of the anesthesia, as well as postoperative management. One of the most important steps in the complex management of such patients is the modulation of anesthesia for every patient needs. We start with the assumptions that the optimization of anesthesia should depend on each patient, being conducted in an individual manner. We also believe that by individualizing the anesthesia by monitoring the entropy it is possible to obtain an appropriate management regarding hemodynamic complications during anesthesia including tachycardia, bradycardia, hypotension and hypertension.
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 80 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •ASA physical status I, II, III;
- •written consent accepted to be enrolled in the study; in polytrauma patients in the operation theatre who are brought directly through the emergency department, written consent is obtained from the relatives, in accordance to the national law number 206, of 2004, for a good and correct scientific research, in the situation where the patient is no capable to sign or give the written consent;
排除标准
- •cardiac pacemaker;
- •atrial fibrillation at the time of presentation in the operation theatre;
- •any subject with epidural catheter, placed pre-operatively;
- •allergy to Propofol or another anesthetic drugs;
- •pregnancy;
- •presence of neuromuscular disease;
- •presence of neurologic disease;
结局指标
主要结局
Change of systolic blood pressure baseline
时间窗: Change from Baseline Systolic Blood Pressure at 10 minutes
Evaluating the impact of general anesthesia guided with Entropy on the hemodynamic instability in the critically ill patient; hemodynamic instability is represented and characterized by high blood pressure episodes (hypertension), or low blood pressure (hypotension).
Change of heart beat rate baseline
时间窗: Change from Baseline heart rate at 10 minutes
Evaluating the impact of general anesthesia guided with Entropy on the heart rate in the critically ill polytrauma patient; cardiac rate instability is represented and characterized by high cardiac rate (tachycardia), or low cardiac rate (bradycardia)
次要结局
未报告次要终点
研究者
Alexandru Florin Rogobete
MSc, PhDs, Clinical Researcher
Romanian Society of Anesthesia and Intensive Care