Fluid Overload, Hypovolemia
Conditions
Keywords
cardiac monitoring, Cheetah Medical, passive leg raises
Brief summary
The investigators would like to study cardiac output, stroke volume, and fluid responsiveness on young adult pediatric patients undergoing anesthesia and surgery with the use of the NICOM, a non-invasive monitor. The NICOM method is non-invasive and provides reliable trending of cardiac output and stroke volume. Measuring cardiac output in conjunction with routine monitoring will provide a better assessment of intra-operative status.
Detailed description
This study will involve measurements of cardiac output, stroke volume, and fluid responsiveness (change in stroke volume of ≥ 10%) obtained via passive leg raise (PLR) before and after anesthesia induction.
Interventions
Use of NICOM and PLR to obtain patient fluid status
Sponsors
Study design
Eligibility
Inclusion criteria
* 18 -30 years of age * presenting for surgery at Riley or University Hospital
Exclusion criteria
* younger than 18 * severely mentally handicapped * orthopedic cases with leg injuries * any other contraindications that would prevent or discourage passive leg raises * if deemed ineligible by an investigator for any other reason.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Patient Fluid responsiveness | within 30 minutes post-anesthesia induction | If patient is fluid responsive, Stroke Volume Index (SVI) will increase by 10% or greater compared to its baseline |