Target-controlled Infusion Anesthesia and Post-induction Hypotension
NCT05708638 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 200
Last updated 2023-09-18
Summary
Hemodynamic changes during induction of anesthesia may have adverse outcomes and should therefore be avoided. The decrease in blood pressure during induction of anesthesia with propofol is due to a decrease in systemic vascular resistance or cardiac output and may be increased by the concomitant use of other drugs such as remifentanil. Target controlled infusion (TCI) system aims to reach the theoretically targeted blood or brain concentration of anesthetic agents based on the patient's age, weight, and height, with computer-assisted algorithms. In manual anesthesia induction, anesthetic agents are administered at a fixed dose and rate adjusted according to the patient's weight, which may cause hypotension in patients with low cardiovascular performance. As target-controlled infusion (TCI) obviates the need to calculate the infusion rate manually, the use of TCI may provide a better hemodynamic profile during anesthesia induction This study was designed to test the hypothesis that propofol by TCI anesthesia induction is associated with a lower hypotension rate when compared with manual anesthesia induction
Conditions
- General Anesthesia
- Hemodynamic Instability
Interventions
- OTHER
-
Manual anesthesia induction
In manual anesthesia induction, anesthetic agents are administered at a fixed dose and rate adjusted according to the patient's weight
- OTHER
-
Anesthesia induction with Target controlled infusions (TCI)
Target controlled infusion (TCI) system aims to reach the theoretically targeted blood or brain concentration of anesthetic agents based on the patient's age, weight, and height, with computer-assisted algorithms.
Sponsors & Collaborators
-
Acibadem University
lead OTHER
Study Design
- Allocation
- RANDOMIZED
- Purpose
- SCREENING
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Max Age
- 90 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2022-12-01
- Primary Completion
- 2023-08-08
- Completion
- 2023-08-10
Countries
- Turkey (Türkiye)
Study Locations
More Related Trials
-
Hemodynamic Responses During Induction: Comparison of Marsh and Schnider Pharmacokinetic Models
NCT01759160 ·Status: COMPLETED ·Phase: NA
-
Anesthesia Management of Coronary Artery Bypass Surgery and Inflammatory Biomarkers
NCT06209437 ·Status: COMPLETED
-
Shock Index, Modified Shock Index and Age-related Shock Index for Predicting Post-spinal Hypotension in Elderly Patients
NCT04483765 ·Status: UNKNOWN
-
Effects of Minimal and High Flow Anesthesia on Thiol Disulfide Balance and StO2 in Hypotensive Anesthesia Applications
NCT03563833 ·Status: UNKNOWN ·Phase: NA
-
TIVA Versus Inhalational Anesthesia and Tissue Oxygenation in Cardiac Surgery
NCT05320341 ·Status: COMPLETED
-
Comparison of Opioid Consumption During TCI Guided by NOL Index or Standard Care Undergoing Intracranial Tumor Surgery
NCT05732896 ·Status: UNKNOWN ·Phase: NA
-
General Anesthesia on Blood Pressure and Intraocular Pressure in Geriatric Patients Undergoing Cataract Surgery
NCT06482996 ·Status: RECRUITING
-
A Comparative Study of Eleveld and Schnider Pharmacokinetic Models for Target-Controlled Infusion of Propofol in Sedation of Mechanically Ventilated ICU Patients
NCT07239687 ·Status: RECRUITING
-
Evaluation of the Effect of Venous Diameter Measurement by Ultrasonography on Pain and Withdrawal Response
NCT03376308 ·Status: COMPLETED
-
Comparison of Fentanyl and Magnesium to Control Reflex Hemodynamics in Patients Aged 50 and Older
NCT07258628 ·Status: COMPLETED ·Phase: NA
-
The Role of Perfusion Index in Defining Postoperative Shivering
NCT06843031 ·Status: ACTIVE_NOT_RECRUITING
-
Peripheral Perfusion Index During Induction of Anaesthesia
NCT05189431 ·Status: COMPLETED
-
Predictors of Spinal Anesthesia-Induced Hypotension in Hypertensive Patients
NCT06749184 ·Status: COMPLETED
-
Effect of Hypotensive Anesthesia on Cerebral Perfusion and Blood Antioxidant Levels and HIF 1a
NCT04174417 ·Status: COMPLETED ·Phase: NA
-
Comparison of Total Oxidant and Total Antioxidant Capacities in Low-Flow and High-Flow General Anesthesia
NCT05590312 ·Status: COMPLETED
-
Evaluation of the Effect of Sevoflurane and Propofol Hypotensive Anesthesia on Blood Antioxidant Levels and HIF 1 Levels
NCT04246567 ·Status: SUSPENDED ·Phase: NA
-
The Effect of Prolonged ischemıa and anesthetıc Agents on Oxidative Stress
NCT06942650 ·Status: COMPLETED
-
Hemodynamic Effects of Anesthesia Induction
NCT06421181 ·Status: RECRUITING
-
Hemodynamic Parameters and Cardiac Enzyme Levels in Patients Undergoing General Anesthesia
NCT05598567 ·Status: COMPLETED
-
Usefulness and Predictive Capacity of ANI and SPI of the Hemodynamic Response
NCT02608775 ·Status: COMPLETED ·Phase: NA
-
The Effect of Intraoperative Ephedrine Use on the Incidence of Hypothermia After Major Surgery
NCT06245148 ·Status: COMPLETED
-
Effect of PEEP on Subdural Pressure, Optic Nerve Sheath Diameter, Lung Compliance and Brain Perfusion Pressure
NCT04316208 ·Status: UNKNOWN ·Phase: NA
-
Perfusion Index in Anesthesia
NCT02989441 ·Status: COMPLETED
-
Bed Bath With Auditory Hypnosis on ICU Patients
NCT07019467 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
TCI vs. Manuel TIVA in Septorhinoplasty Surgeries
NCT06957470 ·Status: ACTIVE_NOT_RECRUITING