Status:
UNKNOWN
Preoperative Ultrasonographic Evaluation of Caval Aorta Diameter Index
Lead Sponsor:
Egymedicalpedia
Conditions:
Hypotension
Geriatric Patients
Eligibility:
All Genders
60-85 years
Brief Summary
General anesthesia is frequently used in daily clinical practice. Elderly patients often require a higher level of care than younger patients during the perioperative period, with higher health care c...
Detailed Description
Prevention of an undesired hypotensive event has a key role in providing patient safety. Patients' susceptibility to intra-operative hypotension can be influenced by the pre-operative volume status. ...
Eligibility Criteria
Inclusion
- Adult patients ( 60 - 85 ) years old of both sexes with American Society of Anesthesiologists (ASA) physical status I-II and scheduled for elective surgeries under general anesthesia.
Exclusion
- Refusal to join the study.
- Mental and psychiatric disorders (un co-operative patients).
- Emergency operations
- ASA physical status \> II
- Dyspnea, respiratory distress, un-compensated respiratory disease (generalized wheezes, defective functional capacity, peripheral O2 saturation less than 90% on room air )
- patients with uncontrolled hypertension, Systolic blood pressure ≥ 180 mmHg
- IVC non visualized
- Patients with increased intra-abdominal pressure (intra-abdominal mass compressing IVC).
- anticipated or accidental discovered difficult airway
- patients taking angiotensin converting enzyme inhibitors or angiotensin receptors blockers, documented heart failure, elevated pulmonary arterial pressure \> 40 mmHg, significant valvular heart disease, significant carotid stenosis, peripheral vascular diseases, unstable angina or cardiac ejection fraction less than 40%, implanted pacemaker or cardioversion , known cases of abdominal aortic abnormality as aneurysm or previous operations.
Key Trial Info
Start Date :
April 1 2023
Trial Type :
OBSERVATIONAL
Allocation :
ESTIMATED
End Date :
April 15 2024
Estimated Enrollment :
105 Patients enrolled
Trial Details
Trial ID
NCT06155461
Start Date
April 1 2023
End Date
April 15 2024
Last Update
December 4 2023
Active Locations (1)
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1
Al-Azhar University hospitals
Cairo, Egypt