Patients scheduled for surgery under general anesthesia with planned arterial catheter insertion
Conditions
Interventions
None listed
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Patients undergoing general anesthesia for surgery with planned arterial catheter insertion and intraoperative cardiac output monitoring
Exclusion criteria
Exclusion criteria: Patients with an ejection fraction <40% Patients with atrial fibrillation Patients with severe chronic obstructive pulmonary disease (COPD) Patients with right heart failure Patients with severe obesity (BMI>35) Patients with severe underweight or cachexia (BMI<15) Patients with preoperatively diagnosed hyperthyroidism
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Change in stroke volume before and 10 minutes after initiation of continuous vasopressor infusion (norepinephrine at 0.05 mcg/kg/min, up to a maximum of 0.1 mcg/kg/min) | — |
Secondary
| Measure | Time frame |
|---|---|
| Change in cardiac output before and 10 minutes after initiation of continuous vasopressor infusion (norepinephrine at 0.05 mcg/kg/min assumed) Change in stroke volume and cardiac output before and 2 minutes after a single bolus of phenylephrine (0.1 mg); if multiple doses are administered, only the first dose is evaluated Assessment of the effectiveness of continuous vasopressor infusion: whether mean arterial pressure (MAP) reaches >65 mmHg, and/or whether MAP increases by >10% | — |
Countries
Japan
Contacts
Jichi medical university, saitama medical center Department of anesthesiology and critical care medicine