Health Condition 1: O- Medical and Surgical
Conditions
Interventions
Intervention1: ultrasound guided fluid therapy: ultrasound-guided fluid therapy given preoperatively. Quantity of 500ml, 250ml and 250 ml of Ringers lactate at 10-minute intervals.
Control Interventi
Sponsors
AIIMS patna
Eligibility
Inclusion criteria
Inclusion criteria: 1. ASA 1, 2 and 3 2. Patients requiring general anaesthesia (induction with propofol) followed by endotracheal intubation for elective surgeries.
Exclusion criteria
Exclusion criteria: 1. patients with unstable angina, tight valvular lesions, and ejection fraction 2. Patients suffering from uncontrolled hypertension 3. Patients with uncompensated respiratory disease such as generalised wheezes, defective functional capacity, peripheral O2 saturation 4. Patients with high intraabdominal pressure compressing IVC) 5. Patients with anticipated difficult airway 6. Patients taking medications like ACE inhibitors 7. Patients with major peripheral vascular disease, severe vascular disease, autonomic nervous system disorders 8. patients with implanted pacemaker/cardioverter insitu or with mental incompetence.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| ? To evaluate and compare the incidence of post-induction hypotensive episodes with and without crystalloid preloading using inferior vena cava collapsibility index in elderly patientsTimepoint: 2 minutes, 4 minutes, 6 minutes, 8 minutes, 10 minutes after intubation | — |
Secondary
| Measure | Time frame |
|---|---|
| Changes in mean arterial pressure and heart rate at various time intervalsTimepoint: - 2 minutes, 4 minutes, 6 minutes, 8 minutes, 10 minutes after intubation;Maximum fall in MAP from baseline in %Timepoint: 2 minutes, 4 minutes, 6 minutes, 8 minutes, 10 minutes after intubation;Need for vasopressors during hypotensive episodesTimepoint: 2 minutes, 4 minutes, 6 minutes, 8 minutes, 10 minutes after intubation;Amount of post-induction fluid requirementTimepoint: 10 minutes | — |
Countries
India
Contacts
Public ContactDr Swapnil Tiwari
All India Institute of Medical Science Patna
Outcome results
None listed