Postinduction Hypotension, Hypotension During Surgery
Conditions
Keywords
postinduction hypotension, hypotension, cystoscopy, lactated ringers
Brief summary
This study aims to determine whether a standardized, weight-based crystalloid fluid bolus administered preoperatively reduces the incidence of postinduction hypotension (PIH) in patients undergoing cystoscopy.
Interventions
A bolus of Lactated Ringers (15mL/kg of ideal body weight) will be given to patients prior to anesthesia induction.
Sponsors
Study design
Eligibility
Inclusion criteria
1. Age ≥ 18 years old. 2. Undergoing elective cystoscopy surgery as the primary procedure. 3. Able to provide informed consent.
Exclusion criteria
1. Emergency surgeries. 2. Past history of amputations of any body part. 3. Allergies or contraindications to any medications used in the protocol or lactated ringers. 4. Systolic heart failure with LVEF \< 30% within the last year. 5. Severely depressed RV function within the last year. 6. Restrictive diastolic dysfunction within the last year. 7. Currently pregnant.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Incidence of Postinduction Hypotension | From the time patient enters the operating room to the end of surgery, assessed up to 24 hours. | Number of patients that experience a decrease in mean arterial pressure (MAP) greater than 20% from the baseline MAP. |
Other
| Measure | Time frame | Description |
|---|---|---|
| Inferior Vena Cava Size | From the time of consent to the beginning of surgery, assessed up to 24 hours. | Size of the inferior vena cava before surgery, approximated using a point-of-care ultrasound scan |
| Respiratory Variability | From the time of consent to the beginning of surgery, assessed up to 24 hours. | Change in the size of the inferior vena cava during respiration, approximated using a point-of-care ultrasound scan |
Countries
United States