Health Condition 1: O- Medical and Surgical
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Individuals aged 60 years and above undergoing elective non cardiac surgeries requiring general anaesthesia with endotracheal intubation 2. American society of anaesthesiologist physical status 1, 2 and 3
Exclusion criteria
Exclusion criteria: 1. Known allergy to propofol/etomidate 2. Anticipated difficult airway 3. Known primary and secondary adrenal insufficiency 4. Individuals on steroid medications in the past 6 months 5. History of seizure disorder 6. Patient refusal
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1.To compare change in SBP, DBP, HR and MAP following induction of anaesthesia in elderly with propofol and etomidate, up to 10 mins post intubation. 2. To find a better inducing agent with respect to haemodynamic stability in elderlyTimepoint: Heart rate, systolic blood pressure, diastolic blood pressure, mean arterial blood pressure, SpOâ??, respiratory rate will be recorded a baseline value after connecting the monitors, after induction, just before and after laryngoscopy and intubation, at 1, 3, 5, 10 minutes post intubation. | — |
Secondary
| Measure | Time frame |
|---|---|
| To determine the proportion of undesired effects of propofol and etomidate perioperatively such as pain on injection and myoclonus. Timepoint: a) Pain during injection will also be noted using 3 points graded scale 0 â?? No pain 1 â?? Slight pain 2 â?? Moderate pain 3 â?? Severe pain b) Myoclonic movements will be observed at least for 3 minutes after giving the drug and graded as 0- No Myoclonic movements 1- Mild myoclonus 2- Moderate myoclonus 3- Severe myoclonus | — |
Countries
India
Contacts
K S Hegde Medical Academy