Intraoperative Hypotension Clinical Trial
Official title:
The Use of Surgical Pleth Index in Guiding Anesthesia in Gastroenterological Surgery
Verified date | April 2021 |
Source | Tampere University Hospital |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
Surgical Pleth Index (SPI) is an intraoperative monitor aimed into detection of nociception and guidance of intraoperative opioid administration. Using such a device opioid administration could be potentially optimized during intraoperative period. this study will aim to show whether SPI could be used to reduce unwanted events and lower opioid consumption in gastroenterological surgery. The study will be blinded and randomized including two study arms with either SPI monitoring included or standard monitoring alone.
Status | Completed |
Enrollment | 80 |
Est. completion date | November 1, 2021 |
Est. primary completion date | November 1, 2021 |
Accepts healthy volunteers | Accepts Healthy Volunteers |
Gender | All |
Age group | 50 Years and older |
Eligibility | Inclusion Criteria: - Able to provide a written informed consent - Age 50 years or above - Laparoscopic or laparotomic surgery requiring intubation with an expected intraoperative time at least two hours. - ASA classification 1-3 Exclusion Criteria: - Implanted cardiac pacemaker or known condition with irregular heart rate at the time of inclusion or induction - Chronic use of opioids - BMI >35 - Known allergy for study medications - Over 5 extrasystoles per minute at the time of induction or inclusion - The use of epidural catheter during the last one hour before surgery or need for catheter intraoperatively (if new catheter is placed at the beginning of surgery test dosage may be used without the need for patient exclusion) |
Country | Name | City | State |
---|---|---|---|
Finland | Tampere University Hospital | Tampere |
Lead Sponsor | Collaborator |
---|---|
Tampere University Hospital | general electric healthcare Finland |
Finland,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Intraoperative remifentanil consumption | The consumption of the remifentanil intraoperatively | intraoperative time | |
Secondary | severe hypotension | MAP <55 mmHg, or -30% from the baseline value | intraoperative time | |
Secondary | intermediate hypotension | MAP <65 mmHg, or -20% from the baseline value | intraoperative time | |
Secondary | hypertension | RRsys >140 mmHg or +20 % from baseline value | intraoperative time | |
Secondary | Bradycardia | Heart rate<45 | intraoperative time | |
Secondary | tachycardia | Heart rate>90 | intraoperative time | |
Secondary | Inraoperative propofol consumption | intraoperative time | ||
Secondary | Desorientation/ grade of sedation during postoperative care treatment | The postoperative desoroentation during immediate post-operative period at postanesthesia care unit. Measured using modified aldrete score | 2-4 hours | |
Secondary | Postoperative nausea and vomiting | The postoperative nausea and vomiting during immediate post-operative period at postanesthesia care unit. Measured using modified aldrete score. | 2-4 hours | |
Secondary | Postoperative opioid consumption | The postoperative opioid consumption during immediate post-operative period at postanesthesia care unit. | 2-4 hours | |
Secondary | Fading of intraoperative relaxation | The characteristics of intraoperative relaxation using EMG measurement | intraoperative time |
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