Emergency Surgery
Conditions
Keywords
anesthesia, Preoperative rapid POU ultrasound, clinical trials
Brief summary
With the development of society, the number of emergency critical operations is increasing year by year. Traditionally, the patient's systemic and circulatory status is indirectly assessed by testing and blood pressure heart rate. There are cases where the diagnosis is imperfect and the results are unreliable. Preoperative POU rapid ultrasound is a preoperative bedside ultrasound evaluation method first proposed by the Anesthesiology Department of Huaxi Hospital (three engineering units). This project will cooperate with Huaxi Hospital to explore whether the effect of intraoperative anesthesia management under POU guidance is better than traditional anesthesia management. This study will provide a new preoperative evaluation anesthesia management program for emergency critically ill patients with important clinical and social significance.
Detailed description
According to the inclusion and exclusion criteria, the patients will be randomly divided into two groups：In the control group, the anesthesiologist performed according to the existing preoperative evaluation program and existing experience, and guided the anesthesia management with the evaluation results.The experimental group used POU protocol ultrasound to perform a heart scan and a standard scan, a large vascular scan under the xiphoid, a body cavity scan, a standard section, and a lung scan in 10 minutes. Comprehensive preoperative circulation and assessment of systemic conditions, and guided intraoperative anesthesia management with assessment results.
Interventions
DEVICEPOU protocol ultrasound
The evaluation method performed a preoperative examination of the patient within 10 minutes by a heart scan and a standard scan of the face, a large vascular scan under the xiphoid, a body cavity scan, and a standard scan of the face and a lung scan. Preparation, providing anesthesia and surgeons with a fast, comprehensive and accurate preoperative judgment with important clinical and social significance.
Sponsors
Shenzhen People's Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
DIAGNOSTIC
Masking
TRIPLE (Subject, Investigator, Outcomes Assessor)
Masking description
Volunteers and data collectors was masked
Eligibility
Sex/Gender
ALL
Age
14 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* 1.pulse oxygen saturation (spO2) ≤ 92% when inhaling air. * 2.respiratory frequency ≥ 20 beats / min. * 3.systolic blood pressure (sbp) \<90mmHg. * 4.heart rate (hr)\>100 times/min. * 5.requires positive inotropic drugs and/or vasopressors. * 6.need artificial ventilation. * 7.Signing informed consent.
Exclusion criteria
* 1.age \<14 years old. * 2.unable to perform ultrasound evaluation (bandage, clam shell). * 3.participated in other clinical trials in the first 3 months of the study. * 4.researchers believe that it is not appropriate to include this tester. * 5.any reason can not cooperate with this study. * 6.cardiac surgery patient * 7.organ transplant patient. * 8.obstetric surgery patient. * 9.you can start rescue after entering the room (such as CPR, etc.), and you are not allowed to perform ultrasound scans.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Severe complication rate | The follow-up period ranges from the first patient recruited to the last patient within 6 months after admission, up to 2 years | Serious complications include cardiac arrest, respiratory failure, hemorrhagic shock, pulmonary embolism, etc. |
| mortality rate | The follow-up period ranges from the first patient recruited to the last patient within 6 months after admission, up to 2 years | The number of patients who died from any cause since the date of randomization. |
| Subjects' health status scores 30 days, 90 days, half a year, and one year after surgery. | The follow-up period ranges from the first patient recruited to the last patient within 6 months after admission, up to 2 years | Follow-up was performed 30 days, 90 days, half a year, and one year after surgery, and the patient's prognosis was assessed using a health score sheet. |
Countries
China
Contacts
Primary Contactping wang, MD
Backup Contactzhongliang dai, MD
Outcome results
None listed