Hemodynamic Effects of Anesthesia Induction
Kliniken Essen-Mitte
30 participants
Jan 14, 2025
OBSERVATIONAL
Conditions
Summary
The idea of that project is to characterize the hemodynamic changes of a daily used clinical intervention (induction of anesthesia) in a highly controlled environment by two hemodynamic monitoring devices. The aim is an advanced hemodynamic profiling of this intervention and additionally screen for changes in flow patterns in an exploratory fashion. Both devices complement one another in their hemodynamic profiling ability. One device is a continuous monitoring with instant traceable changes and the other an intermittent point-of-care ultrasound/echocardiography device with advanced possibilities for differential diagnostics. A second purpose is to test the possibility to implement advanced echocardiography in a point-of-care approach during anaesthesia induction and evaluate the time and quality of a comprehensive analysis by a not-certified anaesthetists with an echocardiography device with features of artificial intelligence versus a certified expert.
Eligibility
Inclusion Criteria2
- Patients undergoing elective laparotomy in the hospital Evangelische Kliniken Essen-Mitte
- Due to the invasiveness of the planned surgery there is an indication for an arterial and central-venous line as well as an peridural catheter
Exclusion Criteria11
- Age < 18 years
- Lack of written informed consent
- Insufficient language skills
- Unwillingness to have pseudonymized disease data stored at the study site and lack of consent to share anonymized data as part of the clinical trial
- American society of anaesthesiologists physical status higher as grade 3
- congestive heart failure with a grade of 2 or higher according to the New York heart association (NYHA)
- Ischemic cardiopathy with a grade of 2 or higher according to the Canadian cardiovascular society (CCS)
- Known severe valve pathologies of the heart
- Chronic kidney disease with dependency of hemodialysis
- Atrial fibrillation ora trail flutter
- Pulmonary hypertension
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Locations(1)
View Full Details on ClinicalTrials.gov
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NCT06421181