Spine Surgery Clinical Trial
Official title:
Incidence , Risk Factors and Outcomes of Haemodynamic Instability and Cardiac Arrest During Spine Surgery
Risk factors for cardiac arrest during spine surgery have been well defined, including lumbar fusion, age over 65 years, obesity, cardiovascular disease, ethnicity and ASA status. Bradycardia and asystole have been described under general anaesthesia in combined surgical cohorts: Proposed mechanisms include unopposed parasympathetic activation, enhanced vasovagal response to decreased venous return, and psychiatric stressors. The investigators prospectively will review patients candidates for spine surgery to explore potential incidence, contributory factors and outcomes to unexpected transient intraoperative haemodynamic instability, arrhythmia, and cardiac arrest during spine surgery as these data are needed to aid risk stratification and improve decision making for spine care teams.
Status | Recruiting |
Enrollment | 100 |
Est. completion date | December 31, 2022 |
Est. primary completion date | October 31, 2022 |
Accepts healthy volunteers | |
Gender | All |
Age group | 18 Years and older |
Eligibility | Inclusion Criteria: 1. Aged more than 18 2. Gender: both. 3. ASA grade I-II (American society of anesthiologists). 4. Prepared to spine surgery under general anesthesia Exclusion Criteria: 1. Ischemic heart patients 2. Hypertensive patients 3. Patients with atrial fibrillation or any previous history of attack of arrhythmias 4. Patients on B.B ( beta-blockers) 5. Chronic use of neuropsychiatric medications 6. Renal Impairment 7. Liver Dysfunction. 8. Any complications during the procedure as massive hemorrhage 9. Surgery for traumatic spinal cord |
Country | Name | City | State |
---|---|---|---|
Egypt | Zagazig university | Zagazig |
Lead Sponsor | Collaborator |
---|---|
Zagazig University |
Egypt,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Incidence of Haemodynamic Instability during Spine Surgery | To calculate Incidence of Haemodynamic Instability during Spine Surgery | allover one year | |
Primary | Risk factors of Haemodynamic Instability during Spine Surgery | To analyze risk factors of Haemodynamic Instability during Spine Surgery | allover one year | |
Primary | outcomes of Haemodynamic Instability during Spine Surgery | To calculate the rate of mortality of Haemodynamic Instability during Spine Surgery | allover one year | |
Primary | Incidence of cardiac arrest during Spine Surgery | To calculate Incidence of cardiac arrest during Spine Surgery | allover one year | |
Primary | Risk factors of cardiac arrest during Spine Surgery | To analyze risk factors of cardiac arrest during Spine Surgery | allover one year | |
Primary | outcomes of Cardiac Arrest during Spine Surgery | To calculate the rate of mortality of cardiac arrest during Spine Surgery | allover one year |
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