Health Condition 1: null- Adult patients undergoing elective surgeries having major blood loss or fluid shifts requiring cardiac output monitoring under general anaesthesia
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1.Adult patients (Age > 18 yrs ) 2.Elective surgeries cases having major blood loss or fluid shifts requiring cardiac output monitoring under general anaesthesia 3.Receiving lung ventilation 8 ml/kg PBW using Volume Assist Control mode. 4.With invasive arterial blood pressure monitoring and cardiac output monitoring using Flotrac EV1000
Exclusion criteria
Exclusion criteria: 1.Age under 18 years 2.Patient in whom brachial artery could not be identified with certainty viz above elbow amputated patients and patient with known PVD. 3.absence of sinusrhythm, 4.presence of a ventricular assist device 5.Carotid artery stenosis( common carotid artery stenosis greater than 50 %(systolic peak velocity >182 cm/s and/or diastolic velocity >30 cm/s by Doppler ultrasound)-as assessed by clinician from critical care with previous formal training in critical care ultrasound 6.contraindication to the prespecified ventilatory parameters (a period of passive ventilation at tidal volume [Vt] 8 mL/kg of predicted body weight 7.Known heart failure and LVEF 8.Valvular heart disease 9.Aortic insufficiency 10.Air leakage through chest drains 11.spontaneous respiratory efforts
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To determine whether brachial artery velocity time integral and carotid artery velocity time integral could substitute as an accurate, noninvasive surrogate for Pulse Pressure Variation in predicting fluid responsiveness in patients undergoing major surgeries with controlled mechanical ventilationTimepoint: before and after fluid bolus | — |
Secondary
| Measure | Time frame |
|---|---|
| NilTimepoint: Nil | — |
Countries
India
Contacts
Tata Memorial Hospital,Parel,Mumbai