The Impact of Patient Position Changes on Advanced Hemodynamic Indices in Laparoscopic and Open Major Abdominal Cancer Surgeries
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 80
- 试验地点
- 2
- 主要终点
- Stroke Volume
研究概览
简要总结
Esophageal Doppler Monitoring (Deltex CardioQ Esophageal Doppler Monitor, ODM) is used to manage patients' fluid therapy by non-invasively measuring continuous cardiac output with an esophageal probe. The aim of this study was to compare the effects of patient position changes on cardiac indices and vital signs in patients who underwent major abdominal cancer surgery with laparoscopic and open surgery using ODM.
详细描述
Patients who underwent major abdominal cancer surgery using ODM in the operating room of our hospital between November 2021 and November 2022 were identified from the Anesthesiology Clinic records and examined according to whether they were operated with open or closed (laparoscopic) methods. Demographic data, vital signs, amount of bleeding, type and amount of fluid administered, and the results of cardiac index measurements performed with the ODM device in the supine and trendelenburg positions (45 degrees) were analyzed. Parameters recorded with the ODM device; CO: Cardiac output, FTc: Flow time corrected, PV: Peak velocity, SD: Stroke distance.
研究设计
- 研究类型
- Observational
- 观察模型
- Other
- 时间视角
- Retrospective
入排标准
- 年龄范围
- 18 Years 至 99 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Elective operation
排除标准
- •Heart failure
- •Valvular heart disease,
- •Patients with symptomatic rhythm disturbances
- •ODM placement contraindicated (coagulopathy, oesophageal varices, known aortic aneurysm)
研究组 & 干预措施
ODM measurements of patients undergoing open surgery in supine and trendelenburg position
After intubation, serial ODM measurements were performed in the supine and trendelenburg position of the patient and CO: Cardiac output, FTc: Flow time corrected, PV: Peak velocity, SD: Stroke distance values were recorded.
干预措施: cardiac indices in supine and trendelenburg position (Procedure)
ODM measurements of patients undergoing laparoscopic surgery in supine and trendelenburg position
After intubation, serial ODM measurements were performed in the supine and trendelenburg position of the patient and CO: Cardiac output, FTc: Flow time corrected, PV: Peak velocity, SD: Stroke distance values were recorded.
干预措施: cardiac indices in supine and trendelenburg position (Procedure)
结局指标
主要结局
Stroke Volume
时间窗: Immediately after induction of anaesthesia and at any stable time during the case
Measurement of cardiac output with the oesophageal doppler device immediately after induction of anaesthesia and in the middle of the case in both supine and trendelenburg position of the patient to see whether there is a significant difference in positional change.
Peak Velocity
时间窗: Immediately after induction of anaesthesia and at any stable time during the case
Measurement of cardiac output with the oesophageal doppler device immediately after induction of anaesthesia and in the middle of the case in both supine and trendelenburg position of the patient to see whether there is a significant difference in positional change.
Cardiac Output
时间窗: Immediately after induction of anaesthesia and at any stable time during the case
Measurement of cardiac output with the oesophageal doppler device immediately after induction of anaesthesia and in the middle of the case in both supine and trendelenburg position of the patient to see whether there is a significant difference in positional change.
Stroke Distance
时间窗: Immediately after induction of anaesthesia and at any stable time during the case
Measurement of cardiac output with the oesophageal doppler device immediately after induction of anaesthesia and in the middle of the case in both supine and trendelenburg position of the patient to see whether there is a significant difference in positional change.
Flow time corrected
时间窗: Immediately after induction of anaesthesia and at any stable time during the case
Measurement of cardiac output with the oesophageal doppler device immediately after induction of anaesthesia and in the middle of the case in both supine and trendelenburg position of the patient to see whether there is a significant difference in positional change.
Pulse
时间窗: Immediately after induction of anaesthesia and at any stable time during the case
Measurement of cardiac output with the oesophageal doppler device immediately after induction of anaesthesia and in the middle of the case in both supine and trendelenburg position of the patient to see whether there is a significant difference in positional change.
Mean arterial pressure
时间窗: Immediately after induction of anaesthesia and at any stable time during the case
Measurement of cardiac output with the oesophageal doppler device immediately after induction of anaesthesia and in the middle of the case in both supine and trendelenburg position of the patient to see whether there is a significant difference in positional change.
次要结局
未报告次要终点
研究者
Mustafa Kemal ŞAHİN
Principal Investigator
Dr Abdurrahman Yurtaslan Ankara Oncology Training and Research Hospital