Hemodynamic Optimization During Spinal Anesthesia in the Elderly
Continuous Non-Invasive Blood Pressure Monitoring Versus Intermittent During Spinal Anesthesia in Elderly Patients With Femoral Fracture: Observational Cohort Study
Fondazione Policlinico Universitario Agostino Gemelli IRCCS
146 participants
May 14, 2024
OBSERVATIONAL
Conditions
Summary
In elderly patients over 65 years of age, proximal femur fracture is the most common type of fracture, and surgical intervention is typically required for the majority of cases. Subarachnoid anesthesia is commonly used for this type of surgery. The objective of this study is to assess the efficacy of continuous non-invasive blood pressure and hemodynamic monitoring compared to traditional methods of blood pressure measurement in reducing the duration of hospitalization and the incidence of post-operative complications in elderly patients undergoing surgery for femur fracture under subarachnoid anesthesia.
Eligibility
Inclusion Criteria1
- Patients with American Society of Anesthesiologists (ASA) physical status I-III, candidate for surgical intervention for femoral fracture under spinal anesthesia.
Exclusion Criteria6
- Severe valvular heart disease
- Heart failure (New York Heart Association - NYHA class ≥ 3)
- Vascular system pathologies
- Allergy or hypersensitivity to local anesthetics
- Absolute contraindications to spinal anesthesia
- Patient refusal to participate to the study
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Interventions
The hemodynamic management followed liberal fluid therapy, as determined by the attending anesthetist's discretion
The hemodynamic management will be conducted in accordance to a goal-directed fluid therapy (GDFT) utilizing the Clearsight system monitoring.
Locations(1)
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NCT06396884