Evaluation of the role of preoperative inferior venacava collapsibility index to predict hypotension after induction of general anaesthesia in end stage renal disease patients on maintenance hemodialysis undergoing non cardiac surgery- A prospective observational study
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 80
- 试验地点
- 1
- 主要终点
- To investigate the preoperative IVCCI% that predicts hypotension after induction of GA in ESRD patients on maintenance HD undergoing noncardiac surgery.
研究概览
简要总结
The USG guided IVC diameter and IVCCI measurement is an easy,non invasive and attractive option to identify patients at risk of developing low blood pressure after induction of GA.This is a research undertaken to study the usefulness of IVC Diameter and IVCCI in patients with kidney failure. Patients will be clearly explained about the procedure and informed consent will be taken.The IVCCI will be measured and baseline vitals are noted then patient will be given GA.Hypotension will be defined as fall in systolic bp by more than 30% from baseline.Fluids ringer lactate 4ml/kg/hr is given f/b vasopressors if needed.
研究设计
- 研究类型
- Observational
入排标准
- 年龄范围
- 18.00 Year(s) 至 60.00 Year(s)（—）
- 性别
- All
入选标准
- •1.Age Greater than 18 years 2.Patients of either sex 3.Patients with BMI less than 35kg per m2 4.Patients who have given a written and valid consent to participate in the study.
排除标准
- •Exclusion criteria 1.Patient refusal 2.Suspected difficult airway 3.Chronic obstructive pulmonary disease (COPD), 4.Elevated systolic pulmonary arterial pressure (more than 40 mmHg), 5.Depressed left ventricular function (EF less than 40%), 6.Any pathology which can increase intra abdominal pressure such as ascites, pregnancy.
- •7.Withdrawal criteria will be poor ultrasound IVC visualization or prolonged intubation attempt (More than 30s).
结局指标
主要结局
To investigate the preoperative IVCCI% that predicts hypotension after induction of GA in ESRD patients on maintenance HD undergoing noncardiac surgery.
时间窗: Baseline value and at any time after induction of GA until 15 mins after endotracheal intubation and before the start of any surgical manipulations. | If hypotension occurred, blood pressure will be measured every 3 min until hypotension subsides.
次要结局
- To correlate IVC diameter and, IVCCI with the duration between HD and induction of GA in these patients.(Before induction)
研究者
Dara vanaja
Nizams Institute of Medical Sciences, Hyderabad