Laparoscopic surgery patient with inserted arterial line during general anesthesia
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Scheduled laparoscopic surgery patients with scheduled arterial catheter insertion and cardiac output monitoring..
Exclusion criteria
Exclusion criteria: Patients with cardiac ejection fraction less than 40% / patients with atrial fibrillation / patients with severe COPD / patients with right heart failure / highly obese patients (BMI>35) / highly classically thin patients (BMI<15) / supine surgery / side lying surgery / surgery requiring isolated lung ventilation / patients not using laparoscopy.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| In laparoscopic surgery patients undergoing general anesthesia with an inserted arterial line, when patients had mean arterial pressure less than 65mmHg and SVV >10%, the Ea dyn at each point will be measured by varying the volume of ventilation from 8 ml/ideal body weight to 6 ml/ideal body weight. The Ea dyn at each point will be measured. Afterwards, 250 ml of Ringer's solution will be administered rapidly, and patients with a 10% or greater increase in mean arterial pressure will be defined as responders. | — |
Countries
Japan
Contacts
Jichi medical university, saitama medical center Department of anesthesiology and critical care medicine