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 volunteersQualifiers
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
Case-only
Prospective
Treatments tested in this trial
Not listed
Trial groups
Trial outcomes
Primary outcomes
Pulse Pressure Variation
PPV in tidal and during forced inspiratory breathing
Secondary outcomes
Systolic Pressure Variation
SPV in tidal and during forced inspiratory breathing
blood pressure
SBP、DBP and MAP
Locations
Sponsors and contacts
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