None listed
Conditions
Interventions
None listed
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Patients aged 65 years or older who are scheduled for orthopedic lower extremity surgery under spinal anesthesia
Exclusion criteria
Exclusion criteria: American Society of Anesthesiologist Physical status classification IV or higher, Contraindication of spinal anesthesia, arrhythmia, pacemaker implantation, angiotensin-converting enzyme inhibitor or angiotensin-2 receptor blocker, patients with preoperative hypovolemia, preoperative hypotension (mean arterial pressure less than 65 mmHg), patients using vasopressors, patients undergoing dialysis, patients with autonomic nervous system disease, patients whose quadriceps muscle thickness cannot be measured.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Incidence of hypotension after tourniquet deflation | — |
Secondary
| Measure | Time frame |
|---|---|
| Severity and duration of hypotension after tourniquet deflation;Type and dose of administered drug when hypotension occurs after tourniquet deflation;Relationship between changes in hemodynamic parameters and hypotension before and after tourniquet decompressio;Arterial blood gas analysis at 5 minutes after tourniquet deflation;Complication such as decreased oxygen saturation during recovery in the post anesthetic care unit;Thickness of the quadriceps muscle on ultrasound sono and thigh circumference at the corrsponding site. | — |
Countries
Korea, Republic of
Contacts
Ewha Womans University Seoul Hospital