Hemodynamic management
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Elderly patients undergoing elective abdominal laparoscopic surgery; 2. Aged =65 years; 3. ASA I-IV.
Exclusion criteria
Exclusion criteria: 1. Patients refused; 2. Patients with atrial fibrillation or non-sinus rhythm; 3. TEE contraindications: including esophageal obstruction or stenosis, esophageal lesions;esophageal tears and perforations; esophageal diverticulum; esophageal hiatal hernia; congenital esophageal malformations; shortly after esophageal surgery; active upper gastrointestinal bleeding; 4. Patients unable to perform transthoracic echocardiography.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The amount of fluid supplemented during surgery; | — |
Secondary
| Measure | Time frame |
|---|---|
| MAP, CO, SVI, SVV after 10 minutes of intubation;MAP, CO, SVI and SVV 5 minutes before surgery;MAP, CO, SVI, SVV before and after pneumoperitoneum;Blood lactic acid and c-reactive protein peaks at 6h and 24h postoperatively;The number of days in hospital;The incidence of AKI 30 days after surgery;30-day mortality after surgery;Unobstructed survival rate within 1 year after surgery; | — |
Countries
China
Contacts
Department of Anesthesiology, Beijing Hospital