Cholangiopancreatography, Endoscopic Retrograde Clinical Trial
Official title:
Applying Non-invasive Hemodynamic Monitor to Predict the Risk of Perioperative Hypotension in Geriatric Patients Underwent Endoscopic Invasive Procedure
Investigators include the patients who need painless invasive endoscopic procedure, investigators collect the demographic data and apply the non-invasive device ICON on participants during the who procedure.
Invasive endoscopy procedure including Endoscopic Retrograde Cholangio-Pancreatography
(ERCP), endoscopic ultrasound guided fine needle aspiration (EUS-FNA), Endoscopic Retrograde
Biliary Drainage (ERBD) and others is more and more popular which become the standard
treatment before surgical intervention. However; the elder group who need this procedure is
getting more common. The painless endoscopic sedation for elder group who has more
comorbidity is not easy. During the procedure, the investigators found that the
anticholinergic medication—buscopam which in order to suppress intestine mobilization can
cause obvious tachycardia. Tachycardia makes the stroke volume decrease which enhance the
perioperative hypotension, and the vasodilation effect of the analgesics make it worse.
Investigators are trying to find the non-invasive predictor of perioperative hypotension in
geriatric group. Investigators collected the patients who need painless endoscopic invasive
procedure, investigators will record their hemodynamic data including estimated cardiac
output (CCO),index of contractility (ICON),NBP,HR,and saturation. Investigators also add the
evaluation of frailty to evaluate the relationship between frailty and perioperative
complications.
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