PPV for Predicting PIH in the Elderly

Trial statusNot yet recruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age65+
SponsorSecond Xiangya Hospital of Central South University

About this trial

The purpose of this observational study is to investigate the predictive power of pulse pressure variability during forced inhalation(PPVfi) on the occurrence of hypotension in elderly patients after induction of general anesthesia. The main question it aims to answer is:

Can the PPVfi predict the occurrence of hypotension in elderly patients after induction of general anesthesia? By recording the PPV of patients during forced inhalation before anesthesia induction, with the incidence of hypotension as the state variable and PPV as the test variable, the area under the ROC curve was calculated to determine the optimal threshold, sensitivity, and specificity of PPV.

Eligibility criteria

This trial accepts healthy volunteers

Qualifiers

American Society of Anesthesiologists (ASA) classification ≤ Grade III;Age ≥ 65 years old; Elective surgery; Patients who require invasive arterial blood pressure monitoring during surgery.

Disqualifiers

Presence of moderate or severe systemic diseases, such as heart failure, arrhythmias, valvular heart disease, pulmonary hypertension, severe pulmonary diseases (e.g., chronic obstructive pulmonary disease (COPD), asthma, bronchiectasis), endocrine disorders, etc.;Preoperative systolic blood pressure (SBP) ≥160 mmHg, mean arterial pressure (MAP) ≥110 mmHg, or heart rate (HR) ≥120 beats per minute;Patients with comorbid psychiatric or neurological disorders, or communication impairments.

Trial population

Elderly patients without significant moderate to severe systemic comorbidities.

Trial design

Design model

Case-only

Time perspective

Prospective

Treatments tested in this trial

Not listed

Trial groups

No trial groups listed

Trial outcomes

Primary outcomes

1

Pulse Pressure Variation

PPV in tidal and during forced inspiratory breathing

Time frame
Before induction

Secondary outcomes

1

Systolic Pressure Variation

SPV in tidal and during forced inspiratory breathing

Time frame
Before induction
2

blood pressure

SBP、DBP and MAP

Time frame
before and after induction

Other outcomes

Locations

This trial has no locations.

Sponsors and contacts

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