Mean Arterial Pressure, Stroke Volume
Conditions
Keywords
hemodynamic monitoring systems, stroke volume
Brief summary
Main hypothesis: there is no difference between stroke volume measurements recorded by a new noninvasive finger cuff system (NexFin) and invasive hemodynamic monitoring systems as Picco2-system, FloTrac and transesophageal echocardiography
Detailed description
In high risc patients undergoing orthopedic surgery an extended cardiopulmonary observation improves patients safety and postoperative outcome. Therefore invasive procedures as Picco2-system, FloTrac and transesophageal echocardiography (tee) have the advantage to measure or calculate stroke volume. Disadvantage of this treatments is the need for a vascular access with all its complications. In this study the stroke volume measured by a new noninvasive finger cuff system (NexFin) should be validated in comparison to invasive hemodynamic monitoring systems as Picco2-system, FloTrac and tee.
Interventions
noninvasive finger cuff system
Sponsors
Study design
Eligibility
Inclusion criteria
* patients undergoing orthopedic surgery with need for invasive blood pressure measurements * age ≥ 18 years * signed informed consent * no participation on another interventional study
Exclusion criteria
* refusal of participation * patients who are not able to sign informed consent * atrial fibrillation with arrhythmia * peripheral arterial disease \> Fontain IIa * scleroderma * presence of an arterio-venous shunt on upper limb * contraindication for femoral arterial vascular access * contraindication for transesophageal echocardiography * stage III heart valve defects * shunt heart defects * solitary regional anaesthesia * pregnant or breastfeeding women
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| stroke volume | preinduction, 3 and 15 minutes after induction, before and after a volume challenge, 30 minutes after induction, end of surgery |
Secondary
| Measure | Time frame |
|---|---|
| mean arterial pressure | preinduction, 3 and 15 minutes after induction, before and after volume challenge, 30 minutes after induction, end of surgery |
Countries
Germany