Global Cardiac Wall Motion Dysfunction, Left Ventricular Dysfunction, Spinal Anesthetics Causing Adverse Effects in Therapeutic Use
Conditions
Keywords
Strain
Brief summary
The objective of this study is to assess the effects of intrathecal local anesthetics on left ventricular global longitudinal strain (LVGLS) using transthoracic echocardiography (TTE).
Interventions
Administration of local anesthetic into intrathecal space to achieve surgical anesthesia
Sponsors
Study design
Eligibility
Inclusion criteria
* Adult patients undergoing elective knee and hip replacements under spinal anesthesia
Exclusion criteria
* Patients who do not wish to consent * Patients with contraindications to TTE * Patients with reduced left ventricular systolic function as defined by LV ejection fraction \< 50% on pre-operative echocardiography * Patients with body mass index greater than 40 * Non-English-speaking subjects * Cognitively impaired adults
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Left Ventricular Global Longitudinal Strain | 5 minutes |
Secondary
| Measure | Time frame |
|---|---|
| Left Ventricular Ejection Fraction | 5 minutes |
Countries
United States