Health Condition 1: T07- Unspecified multiple injuries
Conditions
Interventions
Intervention1: Department of Anaesthesiology
King Georges medical university lucknow: Hypotension associated with the supine to prone positional change will be defined as more than 20% decrease in me
Sponsors
Department of Anaesthesiology
Department of Anaesthesiology
Eligibility
Inclusion criteria
Inclusion criteria: Patient of either gender aged more than 18 years ASA grade I, II, III Patients undergoing elective surgery in prone position under general anaesthesia
Exclusion criteria
Exclusion criteria: ASA grade >= IV. Not giving consent.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The time of the start of anaesthesia will be defined as the time at which propofol is given. The time of positional change will be defined as the time at which the breathing circuit is disconnected in order to turn the patient. Bispectral Index(BIS), Mean arterial pressure (MAP), Heart rate, Expiratory tidal volume, Peak inspiratory Pressure(PIP) and positive end-expiratory pressure(PEEP) will be collected both immediately before and after the change of position from supine to prone.Timepoint: Blood pressure monitoring Operation patient around 1hours during prone position | — |
Secondary
| Measure | Time frame |
|---|---|
| Maintenance of anaesthesia will be done with sevoflurane and intermittent doses of vecuronium bromide (0.02 milligram per kg body weight) to maintain BIS value between 40 to 60. After induction, reading of all vitals will be taken at one-minute interval till haemodynamic stability achieved. Before turning the patient to the prone position, all monitoring devices will be detached from the patient and the breathing circuit will be disconnected. The last reading of vitals recorded before disconnecting the monitors will be considered as baseline values. The ventilator setting and sevoflurane dial setting will be unchanged during the positional change. Immediately after positioning breathing circuit and all monitors will be reconnected and vitals will be recordedTimepoint: vecuronium bromide (0.02 milligram per kg body weight) to maintain BIS value between 40 to 60 20-30 minute after | — |
Countries
India
Contacts
Public ContactProf Monica Kohli
King Georges Medical University Lucknow
Outcome results
None listed