Ignite Creation Date:
2024-05-06 @ 8:02 PM
Last Modification Date:
2024-10-26 @ 3:19 PM
Study NCT ID:
NCT06231472
Status:
ACTIVE_NOT_RECRUITING
Last Update Posted:
2024-01-30
First Post:
2023-12-22
Brief Title:
The Effect of İnferior Vena Cava Diameter and Collapsibility Index on Fluid Management
Sponsor:
Mustafa Burgac
Organization:
Istanbul Medeniyet University
Study Overview
Official Title:
The Effect of Ultrasonography-Assisted İnferior Vena Cava Diameter and Collapsibility Index on Fluid Management in Gynecological Cases Performing Pelvic Surgery
Status:
ACTIVE_NOT_RECRUITING
Status Verified Date:
2024-01
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
Before general anesthesia patients are usually taken into surgery after 8-10 hours of fasting During this fasting period patients may experience fluid deficit Nowadays inferior vena cava IVC imaging with ultrasonography USG and inferior vena cava collapsibility index IVCCI calculation are widely used non-invasive easy fast and reliable methods for evaluating fluid deficit In this study whether IVC diameter and IVCCI displayed before general anesthesia can predict hypotension developing after general anesthesia whether preoperative fluid infusion contributes to patient hemodynamics also we aim are IVC diameter and IVCCI investigate the correlation between with used to predict other fluid deficits pulse pressure change PPV perfusion index PI pleth variability index PVI and peripheral blood hemoglobin SpHb
Detailed Description:
The study was conducted as a prospective randomized controlled study The study age 18-75 American Society of Anesthesiologists scores ASA I-II- III who will be under general anehestesia pelvic surgery performed 122 patients were included 10 patients were excluded from the study due to insufficient image quality and 2 patients were excluded due to the initiation of vasoactive drug infusion Two groups were formed from the patients evaluated with 55 people in each group They were classified as those who received intravenous fluid maintenance during the preoperative fasting period group A and those who were given a calculated amount of fluid intraoperatively group B The maximum IVC diameter dIVCmax and minimum IVC diameter dIVCmin of the patients were measured in the preoperative and postoperative periods IVKKI was calculated dIVKmax- dIVKmindIVKmax 100 Those with serious cardiac disease patients not in sinus rhythm pulmonary hypertension unstable angina or ejection fraction less than 40 obese patients body mass index BMI 35 patients whose IVC cannot be visualized increased abdominal pressure major peripheral artery disease patients with a pacemaker using angioreceptor blockers patients with a hypotensive course those with systolic arterial pressure 30 mmHg despite inotropic infusion over 1mcgkgmin patients with severe hypertension systolic blood pressure 180 mmHg diastole110 mmHg patients with open wounds in the USG area patients with body temperature 375 C patients with partial carbon dioxide pressure PaCO2 in arterial blood gas 60 mmHg patients with mental retardation and limited cooperation and patients who did not agree to participate in the study were not included in the study Peripheral oxygen saturation SpO2 PPV PI PVI SpHb electrocardiography ECG and invasive blood pressure monitoring were performed on the patients Blood pressure was measured by invasive radial artery method Hypotension was considered as systolic blood pressure below 90 mmHg mean arterial pressure MAP decreasing by more than 30 compared to the baseline value or below 60 mmHg or a combination of the two
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
False
Is a FDA Regulated Device?:
False
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None