Hypotension Clinical Trial
Official title:
Focussed Echocardiography to Detect Preoperative Hypovolemia and Left Ventricular Dysfunction as a Predictor of Post-Induction Hypotension
This is an observational study to evaluate the role of a Bed side Focus assessed Transthoracic Echocardiography (FATE) in identifying the patients at a potential risk of developing hypotension secondary to general anesthesia induction using the FATE parameters like velocity time integral ( VTI ), Inferior venacava diameter , Caval index and Left ventricular end end diastolic area.
Various haemodynamic parameters like central venous pressure , pulmonary capillary wedge
pressure , systolic pulse pressure variations , stroke volume variation , pleth variability
index etc are being used as markers of volume status and which in turn have been used as
indicators of post general anesthesia induction hypotension in the past . In the current
study the investigators aim to validate the role of a bed side 2-D transthoracic
echocardiography (TTE) as a guide to identify the volume status of the patient before
induction and clinically observe for the haemodynamic changes in the form of mean arterial
pressure variations in the immediate post induction period.
The investigators aim to perform preoperative bed side Transthoracic echocardiography in 150
American society of Anesthesiologists grade-I/II patients posted for routine General
anaesthesia procedures and assess their volume status . Then the investigators would collect
10 mean arterial pressure recordings at one minute interval in the immediate postinduction
period and assess the accuracy of TTE in identifying potential patients at risk of
developing post induction hypotension.
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Time Perspective: Prospective
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