Continuous BP Monitoring During Sedation for Endoscopy
Continuous Noninvasive Blood Pressure Monitoring During Sedation for High-Risk Patients Undergoing Gastrointestinal Endoscopy
This is a single-site observational, before/after cohort study comparing intermittent blood pressure measurement using to continuous noninvasive blood pressure measurement. The study is designed to determine the impact of the use of continuous noninvasive blood pressure monitoring on the incidence of hypotension in high-risk patients undergoing sedation for upper or lower endoscopic procedures.
Studieoversigt
Status
Status
Betingelser
Betingelser
Intervention / Behandling
Intervention / Behandling
Detaljeret beskrivelse
This is a single-site observational, before/after cohort study comparing intermittent blood pressure measurement using an oscillometric arm cuff to continuous noninvasive blood pressure measurement on the incidence of hypotension in high-risk patients undergoing sedation for upper or lower endoscopic procedures.
The primary aim is to determine the impact of the use of continuous noninvasive blood pressure monitoring on the incidence of hypotension. The secondary aims are to evaluate the impact of continuous blood pressure monitoring on total IV fluid administered, total vasopressor administered, intra-operative depth of sedation, post-operative nausea and vomiting (PONV), and the time to discharge readiness.
Undersøgelsestype
Undersøgelsestype
Tilmelding (Anslået)
Tilmelding
Kontakter og lokationer
Studiekontakt
Studiekontakt
- Navn: Neal Fleming, MD, PhD
- Telefonnummer: 916 734-5028
- E-mail: nwfleming@health.ucdavis.edu
Undersøgelse Kontakt Backup
- Navn: David Asseff, MD
- Telefonnummer: 916 734-5028
- E-mail: dasseff@healt.ucdavis.edu
Deltagelseskriterier
Berettigelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Køn, der er berettiget til at studere
Prøveudtagningsmetode
Studiebefolkning
High-Risk Patients Undergoing Gastrointestinal Endoscopy
Beskrivelse
Inclusion Criteria:
- Age ≥ 50 years
- American Society of Anesthesiologists (ASA) Physical Status ≥ 3
- Scheduled for upper or lower endoscopic procedure with planned propofol administration
- Planned oscillometric blood pressure monitoring using arm cuff without an arterial pressure catheter.
Exclusion Criteria:
- Age <50 years
- ASA Physical Status 1 or 2
- Patients known to be pregnant
- Patients with an existing arterial pressure catheter
- Patients on mechanical circulatory support
- Patients with planned intubation for procedure
- Patients with a difference in systolic blood pressure measurement between right and left upper extremities > 10 mmHg
- Patients with extreme contraction of the smooth muscle in the arteries and arterioles of the arm and hand, such as may be present with Raynaud's disease
- Patients with an inability to place the noninvasive finger cuffs due to anatomy, skin condition, or obstructive paraphernalia (such as false nails)
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Observationsmodeller: CASE_CONTROL
- Tidsperspektiver: PROSPECTIVE
Antal grupper/kohorter
Kohorter og interventioner
Gruppe / kohorteGruppe / kohorte |
Intervention / BehandlingIntervention / Behandling |
|---|---|
|
High-Risk Patients Undergoing Gastrointestinal Endoscopy
Patients scheduled for elective endoscopic procedures |
continuous noninvasive blood pressure monitoring |
Hvad måler undersøgelsen?
Primære resultatmål
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
incidence of hypotension
Tidsramme: during procedure and post-procedure recovery period
|
Mean Arterial Pressure (MAP) < 65 mmHg for a total duration ≥ 5 minutes |
during procedure and post-procedure recovery period
|
Sekundære resultatmål
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
total IV fluid administered
Tidsramme: during procedure and post-procedure recovery period
|
Volume in ml/kg/hr |
during procedure and post-procedure recovery period
|
|
total vasopressor administered
Tidsramme: during procedure and post-procedure recovery period
|
Total doses in mg/kg |
during procedure and post-procedure recovery period
|
|
intra-operative depth of sedation
Tidsramme: during procedure and post-procedure recovery period
|
Patient State Index (PSI), mean, min, max |
during procedure and post-procedure recovery period
|
|
post-operative nausea and vomiting
Tidsramme: during procedure and post-procedure recovery period
|
Incidence requiring treatment |
during procedure and post-procedure recovery period
|
|
time to discharge readiness
Tidsramme: during procedure and post-procedure recovery period
|
Time from Post-Anesthesia Care Unit (PACU) admission to Aldrete Score=10 |
during procedure and post-procedure recovery period
|
Samarbejdspartnere og efterforskere
Sponsor
Sponsor
Efterforskere
Efterforskere
- Studieleder: Neal Fleming, MD, PhD, University of California, Davis
Datoer for undersøgelser
Studer store datoer
Studiestart (Anslået)
Studiestart
Primær færdiggørelse (Anslået)
Primær færdiggørelse
Studieafslutning (Anslået)
Studieafslutning
Datoer for studieregistrering
Først indsendt
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først indsendt, der opfyldte QC-kriterier
Først opslået (Faktiske)
Først opslået
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering sendt
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Yderligere relevante MeSH-vilkår
Andre undersøgelses-id-numre
Andre undersøgelses-id-numre
- 2465371
Plan for individuelle deltagerdata (IPD)
Planlægger du at dele individuelle deltagerdata (IPD)?
IPD-planbeskrivelse
Confidentiality requirements require review
Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter
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