Status:

UNKNOWN

Pathophysiologic Hemodynamics After Primary Unilateral Total Hip Arthroplasty in Patients Receiving ACEIs and ARBs

Lead Sponsor:

Hvidovre University Hospital

Collaborating Sponsors:

Kehlet, Henrik, M.D., Ph.D.

Conditions:

Orthostatic Intolerance

Orthostatic Hypotension

Eligibility:

All Genders

18+ years

Brief Summary

Incidence and pathophysiologic hemodynamics of postoperative orthostatic intolerance and orthostatic hypotension in patients receiving antihypertensives

Detailed Description

Early postoperative mobilization is essential for rapid functional recovery after surgery and it is considered a cornerstone in the so-called fast track multimodal perioperative approach, which includ...

Eligibility Criteria

Inclusion

  • Patients undergoing primary unilateral total hip arthroplasty (THA) in spinal anaesthesia in standardized fast-track setting
  • Habitual use of angiontensin-Converting Enzyme Inhibitors (ACEIs) and/or angiotensin 2 receptor blockers (ARBs) on any indication
  • Patients \> 18
  • Patients that understand and speak Danish
  • Patients that have provided written informed consent

Exclusion

  • Alcohol abuse
  • Any type of substance abuse
  • Chronic pain treated by habitual use of opioids
  • Habitual use of anxiolytic, antidepressant and/or antipsychotic drugs
  • History of cerebral apoplexy or transitory cerebral ischemia
  • History of previous orthostatic intolerance or hypotension
  • History of diabetes mellitus
  • History of following diseases of the autonomic nervous system: Parkinson disease, multiple sclerosis, multiple system atrophy, autonomic neuropathies
  • Cognitive dysfunction
  • Dementia
  • American Society of Anesthesiologists (ASA) \> 3

Key Trial Info

Start Date :

December 1 2020

Trial Type :

OBSERVATIONAL

Allocation :

ESTIMATED

End Date :

December 1 2023

Estimated Enrollment :

24 Patients enrolled

Trial Details

Trial ID

NCT04842058

Start Date

December 1 2020

End Date

December 1 2023

Last Update

April 12 2021

Active Locations (1)

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1

Hvidovre University Hospital

Copenhagen, Denmark, 2960