intraoperative hypotension in elderly patients undergoing laparoscopic cholecystectomy Intermittent Pneumatic Compression, IPC, Sequential Compression Device, SCD, Laparoscopic Cholecystectomy, elderly, Reverse Trendelenburg, General Anesthesia
Conditions
Interventions
Intermittent Pneumatic Compression (model : Kendall SCD Express Thigh-length Sleeves)
Connected to Kendall SCDTM 700Series Controller and open controller before induction.,Intermittent Pneumatic Compr
Experimental Device,Sham Comparator Device
IPC group,Control group
Sponsors
Ratchadaphiseksomphot Endowment Fund, Faculty of Medicine, Chulalongkorn University
Eligibility
Sex/Gender
All
Age
65 Years to 80 Years
Inclusion criteria
Inclusion criteria: 1. Patients undergoing laparoscopic cholecystectomy at King Chulalongkorn Memorial Hospital, Thai Red Cross Society. 2. Aged between 65 and 80 years. 3. ASA class 1 to 3. 4. Undergoing elective surgery
Exclusion criteria
Exclusion criteria: 1. Patients who need to convert from laparoscopic to open abdominal surgery. 2. Contraindications for wearing pneumatic compression stockings: 2.1 Deep vein thrombosis (DVT) in the leg. 2.2 Skin rash, skin graft, or wounds on either leg. 2.3 Peripheral arterial disease. 2.4 Leg swelling or pulmonary edema due to congestive heart failure. 2.5 Deformity in either leg. 2.6 Inability to find a suitable size for the compression stockings. 3. Indications for wearing pneumatic compression stockings, such as a high risk of deep vein thrombosis (DVT). 4. History of poorly controlled hypertension, reduced heart contractility with an ejection fraction of less than 40%, or a history of congestive heart failure. 5. History of severe cardiac arrhythmias.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Incidence of intraoperative hypotension From induction to end of anesthesia NIBP every 1 minute, Mean arterial pressure decreased more than 20 percents from baseline with repetition | — |
Secondary
| Measure | Time frame |
|---|---|
| Incidence of intraoperative hypotension Post induction, early intraoperative, Positive Pressure Pneumoperitoneum, reverse trendelenburg NIBP every 1 minute, Mean arterial pressure decreased more than 20 percents from baseline with repetition,Lowest blood pressure and average of blood pressure Post induction, early intraoperative, Positive Pressure Pneumoperitoneum, reverse trendelenburg NIBP every 1 minute,cardiac output, cardiac index, stroke volume, stroke volume index and total peripheral resistance Post induction, early intraoperative, Positive Pressure Pneumoperitoneum, reverse trendelenburg Starling TM fluid management monitoring system, using bioreactance technology,Intraoperative Vasopressor From induction to end of anesthesia Drug, dose, route,Intraoperative fluid From induction to end of anesthesia Type of fluid, ml | — |
Countries
Thailand
Contacts
Public ContactBenjamas Kiatkasemsan
King Chulalongkorn Memorial Hospital
Outcome results
None listed