Anesthesia
Conditions
Brief summary
This research is expected to study ultrasonic measurement of internal jugular vein and inferior vena cava, which can be used as a good index to predict hypotension after anesthesia induction, and its measurement method is simple and quick.
Detailed description
The induction of anesthesia is the process from the physiological state to the anesthetic state in a short period of time. Hypotension after anesthesia induction is closely related to many organ injuries. Gastrointestinal surgery patients' prohibition of fasting is an important mechanism of severe hypotension after anesthesia induction. At present, ultrasonic measurement of inferior vena cava and internal jugular vein has been proved to be a convenient and non-invasive means to evaluate patients' blood volume. The purpose of this research was to study the relativity between ultrasonic measurement of inferior vena cava and internal jugular vein and hypotension after anesthesia induction in patients.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* Gastrointestinal surgery * BMI 18\ 24 * ASA score gradeⅠ\ III
Exclusion criteria
* anemia * cirrhosis * Emergency surgery * severe hypertension * New York Heart Association III \ IV or ejection fraction \<40% * cirrhosis * Other serious systemic diseases
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Incidence of hypotension after anesthesia Induction | within 12 hours after anesthesia induction | Hypotension can be diagnosed if one of the following conditions is true: (1) a decrease in mean arterial pressure of \> 20% compared to the baseline value (2) mean arterial pressure \< 60mmHg |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Ultrasonic measurement of inferior vena cava and internal jugular vein | within 1 hour before anesthesia induction | Measure the maximum diameter, minimum diameter and cross-sectional area of inferior vena cava and internal jugular vein |