Incidence of Hypotension in the Post-anesthesia Care Unit (PACU).
Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age18-105
SponsorTomas Bata Hospital, Czech Republic
About this trial
The perioperative period poses a heightened risk of complications for patients, including hypotension. While the issue of intraoperative hypotension is well-documented in medical literature, the occurrence and causes of hypotension in the post-anesthesia care unit often receive less attention. This phase of postoperative care, however, is vital for ensuring patient stability and preventing severe consequences. Failure to identify and manage a drop in blood pressure can lead to hypoperfusion of critical organs, increasing the risk of morbidity and mortality. The aim of this study is to examine the frequency of hypotension in the post-anesthesia care unit-defined as systolic blood pressure \<90 mmHg or a drop of more than 20% from baseline-and to identify factors contributing to its development.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
patients over 18 years old
patients undergoing a procedure under general anesthesia
patients who have consented to data processing
postoperative stay in PACU
Disqualifiers
patients younger than 18 years old.
patients transferred directly to the ICU/Anesthesiology and Resuscitation Department after surgery without staying in the recovery room.
patients with incomplete medical documentation or missing blood pressure values in the recovery room.
patients with a pre-existing diagnosis of resistant hypotension or unstable hemodynamics before surgery
Trial population
Patients meeting the inclusion criteria, aged 18 to 105 years, with an indicated hospitalization at a diagnostic-therapeutic unit (DTU).
Trial design
Design model
Cohort
Time perspective
Prospective
Treatments tested in this trial
Not listed
Trial groups
No trial groups listed
Trial outcomes
Primary outcomes
1
Incidence of hypotension in the post-anesthesia care unit (PACU).
Hypotension is defined as systolic blood pressure \<90 mmHg or a decrease of more than 20% from baseline values.
Time frame
0. postoperative daySecondary outcomes
1
Duration of the operation
Duration of the surgical procedure as a risk factor for the development of postoperative hypotension. The duration will be recorded in minutes.
Time frame
0. postoperative day2
ASA classification (American Society of Anesthesiologists classification).
ASA classification as a risk factor for the development of postoperative hypotension. ASA I: A normal healthy patient with no systemic disease. ASA II: A patient with mild systemic disease that does not limit daily activities (e.g., well-controlled diabetes or hypertension). ASA III: A patient with severe systemic disease that limits daily activities but is not incapacitating (e.g., poorly controlled diabetes or hypertension, chronic obstructive pulmonary disease). ASA IV: A patient with severe systemic disease that is a constant threat to life (e.g., unstable angina, symptomatic heart failure). ASA V: A moribund patient who is not expected to survive without surgery (e.g., ruptured abdominal aneurysm).
Time frame
0. postoperative day3
Type of anesthesia.
The type of anesthesia used: general, regional, and/or peripheral nerve block.
Time frame
0. postoperative day4
Blood loss during the operation
Blood loss during the surgical procedure, as documented in the surgical protocol.
Time frame
0. postoperative daySponsors and contacts
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Source ClinicalTrials.gov