Patients older than 18 yr who scheduled for surgery with mechanically ventilated during general anesthesia. surgery with mechanically ventilated during general anesthesia, fluid responsiveness, Perfusion index, recruitment maneuver
Conditions
Interventions
PI will be recorded before and after moderate-intensity lung recruitment maneuver (application of continuous positive airway pressure of 30 cm H2O for 10s and 20s) then SV will be measured before and
Experimental Device
PI reduction after moderate intensity of RM
Sponsors
Faculty of Medicine Ramathibodi Hospital, Mahidol University
Eligibility
Sex/Gender
All
Age
18 Years to 80 Years
Inclusion criteria
Inclusion criteria: Elective surgery - Equipped with a radial arterial catheter and cardiac output monitor
Exclusion criteria
Exclusion criteria: -Arrhythmia, preoperative lung disease, left ventricular ejection fraction less than 50%, possible right ventricular dysfunction due to sleep apnea/severe chronic obstructive pulmonary disease/pulmonary hypertension - Intracranial hypertension, Hemodynamic unstable,Extreme in body habitus(BMI>40 or<15 kg/m2,- Laparoscopic surgery
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Performance of AUROC of PI after moderate-intensity LRM to predict preload responsiveness within 10 minute (after fluid challenge) AUROC Perfusion index reduction after recruitment maneuver | — |
Secondary
| Measure | Time frame |
|---|---|
| Sensitivity and specificity of PI reduction after moderate-intensity LRM to predict preload responsiveness within 10 minute (after fluid challenge) Perfusion index reduction after recruitment maneuver | — |
Countries
Thailand
Contacts
Public ContactSunthiti Morakul
Department of Anesthesiology Faculty of Medicine Ramathibodi Hospital, Mahidol University
Outcome results
None listed