Circulatory System Anaesthesia
Conditions
Interventions
Isobaric Group
Sponsors
Mansoura University
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: • Patients, American Society of Anesthesiologists physical status (ASA) I, II • Age from 18 to 70 years • Both sexes • Body mass index from = 35 Kg/m2
Exclusion criteria
Exclusion criteria: o Patient Refusal o Local Infection at site of insertion o Hematological disorders e.g. Hemophilia or other Bleeding diathesis (INR > 1.6, Prothrombin < 60% or Platelets < 70.000) o Known intolerance to the study drugs. o Uncontrolled Psychiatric diseases as psychosis or disorders with psychotic features o Spinal Deformities or Neuromuscular diseases o Any other contraindications to neuraxial block e.g. severe cardiac valve disease, acute myocardial Ischemia, severe pulmonary hypertension or Bronchial asthma Exacerbation.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Cardiac Index (CI) Measurements | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Intraoperative measurement of systolic time ratio (STR), delivery of oxygen (DO2) based on hemoglobin and oxygen saturation, systemic vascular resistance (SVR), cardiac output (CO), mean arterial blood pressure (MAP), heart rate (HR) 2. Time needed to reach the level of anesthesia at T5. 3. Time of 2-Segment Regression i.e. the time needed for the level of anesthesia to decline by two levels. 4. Intravenous Fluids given all over the operation 5. Time needed for first analgesic request i.e. time interval between spinal anesthesia and patient first complaint of pain requiring analgesia (Visual Analogue Score > 3) | — |
Countries
Egypt
Contacts
Public ContactKareem Awad
Lecturer of Anesthesia
Outcome results
None listed