Health Condition 1: M169- Osteoarthritis of hip, unspecified Health Condition 2: M179- Osteoarthritis of knee, unspecified
Conditions
Interventions
Intervention1: Not applicable: not applicable
Control Intervention1: Not applicable: Not applicable
Sponsors
Post Graduate Institute of Medical Education ResearchChandigarh
Eligibility
Inclusion criteria
Inclusion criteria: 1.Patient undergoing spinal or spinal-epidural anaesthesia 2.ASA-PS I/II 3.Patients undergoing elective surgery
Exclusion criteria
Exclusion criteria: 1.BMI more than 35 kg/m2 2.Pre-existing hypotension or shock 3.Any contraindication to spinal anaesthesia 4.Cardiac dysfunction (EFless than 40%, arrhythmias) 5.Known peripheral vascular disease/vasculitis 6.Patients with less than 15-sec breath holding time • Failed spinal anaesthesia
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| •To determine the predictive value of Pleth variability index (PVI) at the end of a 15-sec maximal inspiratory breath hold in the sitting position before spinal anaesthesia in predicting the occurrence of hypotension, defined as a fall in MAP by 20% from baseline or SBP less than 80 mm of Hg in elderly patients.Timepoint: Baseline and every 2 minutes for 10 minutes, followed by every 5 minutes till 30 minutes from spinal drug injection. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. To determine the predictive value of change in PVI (baseline & after 15 sec breath hold) & occurrence of post-spinal hypotension in elderly patients. 2. To determine the predictive value of baseline PI in the development of hypotensive response to spinal anaesthesia. 3. To find the incidence of hypotension in the elderly population following spinal anaesthesia. 4. Incidence of baseline hypothermia Timepoint: From induction of spinal anaesthesia to 24 hours after surgery | — |
Countries
India
Contacts
Public ContactAjay Singh
Post Graduate Institute of Medical Education and Research, Chandigarh
Outcome results
None listed