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TAPSE, one of the methods for evaluating right ventricular systolic function; It is a bar parameter that can easily measure apex-basal shortening and provides specific information about global RV function. TAPSE/PASP can be calculated as load-independent parameters to evaluate RV function. Because RV function is sensitive to change in afterload, known as the RV-pulmonary circulation (PC) connection.
This study aims to identify patients who are candidates for hypotensive events due to general anesthesia in a hemodynamically stable population.
TAPSE, one of the methods for evaluating right ventricular systolic function; It is a bar parameter that can easily measure apex-basal shortening and provides specific information about global RV function. TAPSE/PASP can be calculated as load-independent parameters to evaluate RV function. Because RV function is sensitive to change in afterload, known as the RV-pulmonary circulation (PC) connection.
This study aims to identify patients who are candidates for hypotensive events due to general anesthesia in a hemodynamically stable population.
Patients will be measured by transthoracic echocardiography in the preoperative period, 15-30 minutes before induction.
Basal hemodynamic parameters and non-invasive and/or hemodynamic values will be recorded every two minutes after induction until surgical incision.Patients with a 30% decrease in SBP from the baseline and a decrease in MAP below 65 mmHg in the first 10 minutes after anesthesia induction will be considered to have hypotension. Patients will be divided into 2 groups: 'with' and 'without' hypotension.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Hypotension | Patients with a 30% decrease in SBP from baseline and a decrease in MAP below 65 mmHg in the first 10 minutes after anesthesia induction will be considered to have hypotension. |
| |
| none hypotension | Patients who do not have a 30% decrease from the baseline in SBP and a decrease in MAP below 65 mmHg in the first 10 minutes after anesthesia induction will be considered as not having hypotension. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| HYPOTENSİON | Other | MAP below 55 mmHg or long-term (2 minutes or more) hypotensive attacks will be treated with ephedrine 0.1mg/kg. |
|
| Measure | Description | Time Frame |
|---|---|---|
| 1. tension | Intraoperative systolic arterial tension, diastolic arterial tension and mean arterial tension will be taken and recorded for the patients. | 4-5 hours] |
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Inclusion Criteria:
Exclusion Criteria:
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ASA1-3 patients aged 18-75 who will undergo elective surgery
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| ferdi gülaştı | Contact | +905054929650 | ferdigulasti@gmail.com |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Ferdi Gülaştı | Recruiting | Aydin | 09020 | Turkey (Türkiye) |
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| ID | Term |
|---|---|
| D007022 | Hypotension |
| ID | Term |
|---|---|
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
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| ID | Term |
|---|---|
| D007023 | Hypotension, Controlled |
| D013812 | Therapeutics |
| ID | Term |
|---|---|
| D000760 | Anesthesia and Analgesia |
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