Health Condition 1: 4- Measurement and Monitoring
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: All elective patients (Between 18 to 70 years of age), classified as ASA I or II, are scheduled for spine surgery in the prone position, and receiving ventilation with low tidal volume.
Exclusion criteria
Exclusion criteria: o ASA >III o Any recurrent cardiac arrhythmia; reduced ventricular systolic function (ejection fraction o BMI of more than 30 kg/m2 o Chronic lung disease o Chronic kidney disease o Pre-operative use of beta-blocking agents
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To evaluate the reliability of short-term low PEEP challenge (SLPC)-induced decrease in stroke volume index (â?? SVI- SLPC) to predict fluid responsiveness in patients undergoing spine surgery with lung-protective ventilation in the prone position.Timepoint: Starting Point: Five minutes after the adoption of the prone positioning with hemodynamic stability. End Point: Three minutes after the administration of fluid loading. | — |
Secondary
| Measure | Time frame |
|---|---|
| â?¢ To compare the predictability of this method (â??SVI-SLPC) with that of traditional dynamic indices (SVV & PPV) to predict fluid responsiveness. â?¢ To determine appropriate best cut-off values over the receiver operator characteristics (ROC) curve. â?¢ To assess the correlation between (â??SVI-SLPC) & changes in SV induced by volume expansion (â??SV-VE). Timepoint: Starting Point: Five minutes after the adoption of the prone positioning with hemodynamic stability. End Point: Three minutes after the administration of fluid loading. | — |
Countries
India
Contacts
ALL INDIA INSTITUTE OF MEDICAL SCIENCES (AIIMS) NEW DELHI