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Predictability of the Pulse Pressure Variation (PPV) During Spontaneous Ventilation on the Incidence of Hypotension During Induction of Anesthesia

Predictability of the Pulse Pressure Variation During Spontaneous Ventilation on the Incidence of Hypotension During Induction of Anesthesia

Status
UNKNOWN
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT02208570
Enrollment
172
Registered
2014-08-05
Start date
2014-07-31
Completion date
Unknown
Last updated
2016-04-20

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Hypotension

Keywords

Hypotension during anesthesia induction

Brief summary

The purpose of this study is to find out the predictability of the pulse pressure variation during spontaneous ventilation on the incidence of hypotension during induction of anesthesia.

Interventions

OTHERPPV>14%

Patients whose preoperative pulse pressure variation during spontaneous ventilation exceed 14

Hydroxyethyl starch solution 6ml/kg iv injection

OTHERPPV<14%

Patients whose preoperative pulse pressure variation during spontaneous ventilation does not exceed 14

Sponsors

Seoul National University Hospital
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
TRIPLE (Subject, Caregiver, Outcomes Assessor)

Eligibility

Sex/Gender
ALL
Age
20 Years to 80 Years
Healthy volunteers
No

Inclusion criteria

* Patients undergoing general anesthesia induction with intravenous anesthesia using propofol and remifentanil * Patients requiring invasive arterial blood pressure monitoring for the surgery

Exclusion criteria

* Refusal of consent * Patients with heart disease (symptomatic valvular heart disease, intracardiac shunt, pulmonary hypertension with pulmonary systolic arterial pressure exceeding 40mmHg) * FEV1 ≤ 50% predicted FEV1 * Patients with chronic renal failure * ASA class IV, V, VI * Systolic arterial blood pressure below 90mmHg before induction of anesthesia

Design outcomes

Primary

MeasureTime frameDescription
Changes of heart rate and systolic arterial blood pressure from baseline values immediately before tracheal intubationThree minutes after anesthesia agent injectionFirst, we measure the baseline heart rate and systolic arterial blood pressure and calculate the baseline heart rate and blood pressure. At 3 minutes after anesthesia agent injection we record the heart rate and blood pressure, and perform endotracheal intubation. Then we calculate the percentile change of blood pressure and heart rate from the baseline values.

Secondary

MeasureTime frameDescription
Changes of heart rate and systolic arterial blood pressure from baseline values, three minutes after intubationThree minutes after endotracheal intubationWe collect the patient's vital signs for 1 second interval during anesthesia induction. We collect the patient's heart rate and blood pressure values for three minutes after endotracheal intubation, and average the numbers. Then we compare the numbers from the baseline value and calculate the changes.
Changes of heart rate and systolic arterial blood pressure from baseline values, three minutes before intubationThree minutes before endotracheal intubationWe collect the patient's vital signs for 1 second interval during anesthesia induction. We collect the patient's heart rate and blood pressure values for three minutes before endotracheal intubation, and average the numbers. Then we compare the numbers from the baseline value and calculate the changes.

Countries

South Korea

Contacts

Primary ContactJae-Hyon Bahk
bahkjh@snu.ac.kr82-2-2072-2818

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026