Hypotension after induction of general anesthesia in elderly patients
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: (1) Age: 65-80 years old, any gender, body mass index (BMI): BMI 18-28 kg/m2; (2) American Society of Anesthesiologists (ASA) classification I-II, Mallampati airway classification I-II; (3) Patients requiring general anesthesia under tracheal intubation via gastrointestinal preparation; (4) With the ability of autonomous behavior, clear consciousness, and able to cooperate to complete the experiment; (5) Respondents agreed to participate in the study and signed an informed consent form.
Exclusion criteria
Exclusion criteria: (1) Failure to participate in the trial and refusal to sign the informed consent form; (2) ASA classification III to IV; (3) History of allergy to sedative drugs and other serious anesthetic risks; (4) Presence of major peripheral vascular disease and severe vascular disease; (5) Currently taking angiotensin-converting enzyme inhibitors or angiotensin receptor blockers; (6) Preoperative hypotension (baseline MBP less than 70 mmHg) or baseline blood pressure systolic blood pressure (SBP) greater than 160 mmHg; (7) Patients at risk of reflux aspiration; (8) Elevated intracranial pressure; (9) Unstable angina or left ventricular ejection fraction less than 40%; (10) With moderate or severe heart valve disease; (11) Implantation of a pacemaker or cardioverter.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Inferior vena cava collapsibility index(IVCCI);systolic blood pressure(SBP);diastolic blood pressure(DBP);mean arterial pressure (MAP);heart rate(HR);Maximum inferior vena cava diameter(dIVCmax);Minimum inferior vena cava diameter(dIVCmin); | — |
Secondary
| Measure | Time frame |
|---|---|
| age;sex;height;weight;American Society of Anesthesiologists (ASA) Health Status Classification;Have high blood pressure;Medications currently taken to treat high blood pressure;Type of surgery; | — |
Countries
China
Contacts
Yichang Central People's Hospital, Hubei Province, China