OBESE PATIENTS AND ANAESTHESİA İNDUCTİON: PERFUSION INDEX, PRONE ,SUPİNE AND SITTING POSITION
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 80
- 试验地点
- 1
- 主要终点
- Group P-S-ST
研究概览
简要总结
The aim was to investigate the effect of anesthesia management on perfusion index changes in obese patients and different anesthesia positions. The effect of positional intra-abdominal pressure and lung-related variables was investigated.
详细描述
There may be changes in haemodynamic findings in patients after anaesthesia. The most common of these are hypotension and bradycardia. Many factors play a role on the hypotensive effect of anaesthesia induction1 . Position changes in patients during surgery in obese patients affect these changes.In our study, the changes in haemodimaic findings and the changes in PI and PVI were investigated in patients with BMI 30 and above and in patients with BMI within normal limits after induction of anaesthesia by giving prone position and sitting position.Position changes in patients during surgery in obese patients affect these changes. Hypertension and hypotension after induction of anaesthesia are common in obese patients. In addition, decreased venous return to the heart due to increased intrathoracic pressure during mechanical ventilation may trigger bradycardia and hypotension.
研究设计
- 研究类型
- Observational
- 观察模型
- Case Control
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 70 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •18-70 years range
- •Patients who will be operated in supine prone and sitting positions
排除标准
- •Heart Failure
- •antiarrhythmic drug use hemodynamic instability uncooperative patients
结局指标
主要结局
Group P-S-ST
时间窗: preoperative 5 minute and after anesthesia induction 10 20 30. mimute Perfusion İndex value)
Comparison after anesthesia induction in prone, supine and sitting positions.(Perfusion index value)
次要结局
- Body mass index, age,comorbidities(preoperative perion (10 minutes before anesthesia))