Ability of Cardio Q for Prediction of Hypotension

Ability of Cardio Q for Prediction of Hypotension After Postural Change in Robot-Assisted Laparoscopic Radical Prostatectomy

Status

Completed

Phases

Unknown

Study type

Observational

Source

ClinicalTrials.gov

Registry ID

NCT03882697

Enrollment

125

Registered

2019-03-20

Start date

2019-01-01

Completion date

2020-09-24

Last updated

2020-12-21

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

Conditions

Prostate Cancer

Keywords

Robotic surgery, Position, Cardio Q, hypotension

Brief summary

Evaluation the ability of each indicator of Cardio Q in predicting hypotension after position changes in robot-assisted laparoscopic radical prostatectomy

Detailed description

Hypotension is common in patients who undergo general anesthesia. Hypotension may cause hypoperfusion in the organs of the body, resulting in ischemia and increased mortality within one year. Hypotension may occur at any time during general anesthesia but may also occur with changes in posture. In robot-assisted laparoscopic radical prostatectomy, hypotension often occurs when posture is changed from a Trendelenburg position to a supine position. However there is no data regarding which hemodynamic parameters can predict hypotension induced by position change. Excessive administration of the fluid in steep Trendelenburg position may lead to fluid overload and lead to complications such as pulmonary edema. Thus, the predictors are should be identified to manage patients without fluid overload. Therefore, the aim of this study is to investigate the parameters of Cardio Q which are useful for predicting hypotension after position change.

Interventions

None listed

Study design

Observational model

COHORT

Time perspective

PROSPECTIVE

Eligibility

Sex/Gender

MALE

Age

20 Years to 85 Years

Healthy volunteers

Inclusion criteria

Patients undergoing robot-assisted laparoscopic radical prostatectomy ASA 1-3

Exclusion criteria

Patients that * Unstable angina, left ventricular ejection fraction \<40% * Severe vascular disease * Insertion type : pacemaker / defibrillator * Autonomic nervous system diseases * When esophageal varices are present * If the subject includes a person who can not read the written consent (eg, illiterate, foreigner, etc.)

Design outcomes

Primary

Measure	Time frame	Description
Mean arterial pressure	Before position change, After position change (1, 3, 5, 7, and 10 minutes)	The changes mean arterial pressure

Countries

South Korea

Outcome results