The prognostic impact of a target management strategy based on near-physiological baseline blood pressure values in elderly patients with gastrointestinal surgery

Status

Active, not recruiting

Phases

Early Phase 1

Study type

Interventional

Source

ChiCTR

Registry ID

ChiCTR2200062248

Enrollment

Unknown

Registered

2022-07-31

Start date

2022-07-31

Completion date

Unknown

Last updated

2023-04-03

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

None listed

Interventions

Group I:Targeted management strategies based on baseline blood pressure values that are close to physiological conditions

Group C:Targeted management strategy for routine blood pressure baseline

Eligibility

Sex/Gender

All

Age

65 Years to 80 Years

Inclusion criteria

Inclusion criteria: 1. Sign informed consent; 2. Aged >65 and <80 years; 3. ASA grade II~III; 4. Patients who plan to undergo endoscopic gastrointestinal surgery.

Exclusion criteria

Exclusion criteria: 1. Patients with contraindications to regional block technique (allergy to local anesthetic, infection around puncture site and coagulation disorder); 2. A history of dependence on painkillers; 3. Patients with dementia or cognitive dysfunction (positive on CAM scale, less than 24 points on MMSE scale); 4. Any cerebrovascular accident, such as stroke, transient ischemic attack (TIA), etc., occurred within 3 months; 5. Anyone who has trouble communicating.

Design outcomes

Primary

Measure	Time frame
Incidence of postoperative delirium ;	—

Secondary

Measure	Time frame
Intraoperative MAP and local cerebral oxygen saturation (rSO2) values;Observation time of anesthesia recovery room (PACU) and postoperative hospital stay;During the operation, the amount of anesthetic drugs and vasoactive drugs and the amount of liquid in and out;Intraoperative hemodynamic fluctuations;Time of patient awakening, extubation and PACU entry and exit;Major complications after gastrointestinal surgery;Length of hospital stay;Mortality;	—

Measure

Time frame

Intraoperative MAP and local cerebral oxygen saturation (rSO2) values;Observation time of anesthesia recovery room (PACU) and postoperative hospital stay;During the operation, the amount of anesthetic drugs and vasoactive drugs and the amount of liquid in and out;Intraoperative hemodynamic fluctuations;Time of patient awakening, extubation and PACU entry and exit;Major complications after gastrointestinal surgery;Length of hospital stay;Mortality;

—

Countries

China

Contacts

Public ContactCheng Xinqi

ch_xqmz@163.com+86 13965015671

Outcome results