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With the development of society, the number of emergency critical operations is increasing year by year. Traditionally, the patient's systemic and circulatory status is indirectly assessed by testing and blood pressure heart rate. There are cases where the diagnosis is imperfect and the results are unreliable. Preoperative POU rapid ultrasound is a preoperative bedside ultrasound evaluation method first proposed by the Anesthesiology Department of Huaxi Hospital (three engineering units). This project will cooperate with Huaxi Hospital to explore whether the effect of intraoperative anesthesia management under POU guidance is better than traditional anesthesia management. This study will provide a new preoperative evaluation anesthesia management program for emergency critically ill patients with important clinical and social significance.
According to the inclusion and exclusion criteria, the patients will be randomly divided into two groups：In the control group, the anesthesiologist performed according to the existing preoperative evaluation program and existing experience, and guided the anesthesia management with the evaluation results.The experimental group used POU protocol ultrasound to perform a heart scan and a standard scan, a large vascular scan under the xiphoid, a body cavity scan, a standard section, and a lung scan in 10 minutes. Comprehensive preoperative circulation and assessment of systemic conditions, and guided intraoperative anesthesia management with assessment results.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| POU ultrasound intervention test group | Experimental | The experimental group used POU protocol ultrasound to perform a heart scan and a standard scan, a large vascular scan under the xiphoid, a body cavity scan, a standard section, and a lung scan in 10 minutes. Comprehensive preoperative circulation and assessment of systemic conditions, and guided intraoperative anesthesia management with assessment results. |
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| Control group | No Intervention | the anesthesiologist performed according to the existing preoperative evaluation program and existing experience, and guided the anesthesia management with the evaluation results. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| POU protocol ultrasound | Device | The evaluation method performed a preoperative examination of the patient within 10 minutes by a heart scan and a standard scan of the face, a large vascular scan under the xiphoid, a body cavity scan, and a standard scan of the face and a lung scan. Preparation, providing anesthesia and surgeons with a fast, comprehensive and accurate preoperative judgment with important clinical and social significance. |
| Measure | Description | Time Frame |
|---|---|---|
| Severe complication rate | Serious complications include cardiac arrest, respiratory failure, hemorrhagic shock, pulmonary embolism, etc. | The follow-up period ranges from the first patient recruited to the last patient within 6 months after admission, up to 2 years |
| mortality rate | The number of patients who died from any cause since the date of randomization. | The follow-up period ranges from the first patient recruited to the last patient within 6 months after admission, up to 2 years |
| Subjects' health status scores 30 days, 90 days, half a year, and one year after surgery. | Follow-up was performed 30 days, 90 days, half a year, and one year after surgery, and the patient's prognosis was assessed using a health score sheet. | The follow-up period ranges from the first patient recruited to the last patient within 6 months after admission, up to 2 years |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| ping wang, MD | Contact | 13530756996 | pwang2011@163.com | |
| zhongliang dai, MD | Contact | 13530756996 | daizhongliang@jnu.edu.cn |
| Name | Affiliation | Role |
|---|---|---|
| ping wang, MD | China, Guangdong ,Shenzhen People's Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Shenzhen People's Hospital | Recruiting | Shenzhen | Guangdong | 518001 | China |
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Volunteers and data collectors was masked
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