Status:
RECRUITING
Point of Care Ultrasound and Co-loading in Patients With Spinal-induced Hypotension and Cardiac Diseases
Lead Sponsor:
Attikon Hospital
Conditions:
Fluid Therapy
Dehydration
Eligibility:
All Genders
70-100 years
Brief Summary
In elderly patients with cardiac diseases, changes in cardiovascular physiology diminish cardiovascular reserve and predispose to significant hemodynamic instability after spinal anesthesia; hence, su...
Detailed Description
Elderly dehydrated patients (age\>70 years) with proximal femur fracture scheduled for orthopedic surgical repair under spinal anesthesia were recruited. Patients' medical history, physical examinatio...
Eligibility Criteria
Inclusion
- All the included patients have BUN-to-creatinne ratio\>20
- LV-EF between 35% and 50%
- Normal RV function indices \[tricuspid annular plane systolic excursion (TAPSE) index \> 16 and tricuspid annular systolic velocity (TASV) \> 10 cm/sec and fractional area change (FAC) \> 35%)\]
Exclusion
- Poor acoustic windows,
- Tthose who were included during the initial screening, but they finally found with pulmonary hypertension (peak tricuspid velocity \> 3.4 m/sec), tricuspid/mitral/pulmonary valve regurgitation grade 3 or 4, severe aortic/mitral valve stenosis, and severe mitral annulus calcification on the preoperative echocardiogram.
- All patients with maximum cephalad dermatomal extension of the spinal sensory block below T12 or arterial hypotension related to overt intraoperative bleeding (\>150 cc) are excluded.
- Intraoperrative hypotension due to bleeding and cement placement
Key Trial Info
Start Date :
January 2 2024
Trial Type :
OBSERVATIONAL
Allocation :
ESTIMATED
End Date :
June 30 2026
Estimated Enrollment :
60 Patients enrolled
Trial Details
Trial ID
NCT06206434
Start Date
January 2 2024
End Date
June 30 2026
Last Update
November 19 2025
Active Locations (1)
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1
Theodosios Saranteas
Athens, Greece