Hypotension
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1.Age >= 65 years; 2.Definite diagnosis of cerebrovascular disease; 3.Scheduled to undergo elective or urgent surgery under spinal anesthesia; 4.American Society of Anesthesiologists (ASA) physical status classification I-III; 5.Signed written informed consent by the patient or legal guardian;
Exclusion criteria
Exclusion criteria: 1.Emergency surgery; 2.Presence of severe hypotension or uncontrolled hypertension prior to surgery; 3.Presence of severe cardiac disease, severe hepatic insufficiency, or end-stage renal disease; 4.Conditions that may interfere with accurate upper limb blood pressure measurement; 5.Conditions that may affect the assessment of frailty; 6.Failure to provide signed written informed consent.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The incidence of hypotension in the two groups; | — |
Secondary
| Measure | Time frame |
|---|---|
| New or Worsened Postoperative Neurological Deficits;Use of Vasoactive Agents;Unplanned ICU admission rate;Intraoperative Blood Pressure Variability;Postoperative length of hospital stay;30-day readmission rate;Imaging-confirmed new-onset cerebral infarction or cerebral ischemia during the perioperative period;Incidence of postoperative delirium; | — |
Countries
China
Contacts
Tianjin Beichen Hospital