Hypotension
Conditions
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
Patients whose preoperative pulse pressure variation during spontaneous ventilation exceed 14
Hydroxyethyl starch solution 6ml/kg iv injection
Patients whose preoperative pulse pressure variation during spontaneous ventilation does not exceed 14
Sponsors
Study design
Eligibility
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
| Measure | Time frame | Description |
|---|---|---|
| Changes of heart rate and systolic arterial blood pressure from baseline values immediately before tracheal intubation | Three minutes after anesthesia agent injection | First, 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
| Measure | Time frame | Description |
|---|---|---|
| Changes of heart rate and systolic arterial blood pressure from baseline values, three minutes after intubation | Three minutes after endotracheal intubation | We 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 intubation | Three minutes before endotracheal intubation | We 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