The patient is undergoing lower limb surgery with spinal anesthesia. Spinal block, Hypotension, Inferior venacava collapsibility index ( IVC-CI )
Conditions
Interventions
If the IVC CI (Inferior Vena Cava Collapsibility Index) measurement is greater than 36%, it indicates a high degree of collapsibility of the major veins, which may suggest a deficiency in blood or flu
ultrasound inferior vena cava collapsibility index (IVC-CI) ,standard care
Sponsors
Faculty of Medicine, Srinakharinwirot University
Eligibility
Sex/Gender
All
Age
18 Years to 75 Years
Inclusion criteria
Inclusion criteria: 1. Patients undergoing non-urgent lower limb surgery 2. Patients aged 18-75 years 3. ASA classification I-III
Exclusion criteria
Exclusion criteria: 1. patients who did not consent to participate 2. contraindications to spinal anesthesia 3. underlying hypertension. 4. moderate to severe cardiac conditions such as coronary artery disease or valvular heart disease 5. pregnancy 6. body mass index (BMI) of 40 or greater 7. poor visualization of major veins via ultrasound 8. anesthetic allergies 9. stage 4 or higher chronic kidney disease 10. chronic lung disease limiting fluid administration 11. liver failure 12. anemia, defined as a hemoglobin level of 7 mg/dL or less.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| incidence of hypotension after end anesthesia 24 hour inferior vena cava collapsibility index (IVC-CI) by ultrasound | — |
Secondary
| Measure | Time frame |
|---|---|
| Compare the amount of vasopressor, volume of fluids, intraoperative and postoperative complications. after end anesthesia 24 hour amount of vasopressor drug, fluid volume and complications | — |
Countries
Thailand
Contacts
Public ContactWanida Chongarunngamsang
Faculty of Medicine, Srinakharinwirot University
Outcome results
None listed