Prediction of Fluid Responsiveness Using Dynamic Preload Indices During Arthroscopic Shoulder Surgery in the Beach Chair Position

NCT02291185 | Completed

• 1 other identifier: 4-2014-0698
• Study Type: observational
• Target: 42
• Locations: 0 countries
• Sites: N/A

Brief Summary

The beach chair position (BCP) has been commonly used for shoulder arthroscopic surgery. Hemodynamic instability is frequently encountered problem associated with BCP. In addition, high rates of cerebral desaturation events have been reported during surgery in BCP. Although fluid loading could alleviate hypotension associated with BCP, it may lead to volume overload. As an alternative to static indices, dynamic preload indices such as pulse pressure variation (PPV) and stroke volume variation (SVV) were reported to be sensitive predictors of fluid responsivness in several surgical condition. The investigators will examine the abilities of PPV and SVV to predict fluid responsivness during shoulder arthroscopic surgery in BCP. Using transesophageal echocardiography (TEE), the investigators will directly estimate the change of cardiac output during BCP.

Conditions

Shoulder Arthroscopy

Outcome Measures

Primary Outcomes (1)

• The changes between dynamic preload indices (SVV and PPV) and stroke volume index during beach chair position. We will measure them to evaluate the effect of beach chair position on PPV and SVV.

  To investigate the ability of SVV adn PPV to predict fluid responsiveness during beach chair position, using ROC curve.

  The participants will be followed up to 5 minutes after fluid challenge.

Eligibility Criteria

• Age: 20 Years - 75 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

patients undergoing shoulder arthroscopic surgery in the beach chair position

You may qualify if:

• Above 20 years of age.
• American Society of Anesthesiologists (ASA) Physical Status I, II, III.
• shoulder arthroscopy under Beach-chair position

You may not qualify if:

• severe functional liver or kidney disease
• diagnosed HF ( NYHA class \>3)
• cerebrovascular disease 4. Pregnancy

Sponsors & Collaborators

• Yonsei University: lead

Study Design

• Study Type: observational
• Observational Model: CASE ONLY
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: October 30, 2014
• First Posted: November 14, 2014
• Study Start: November 1, 2014
• Primary Completion: July 1, 2015
• Study Completion: July 1, 2015
• Last Updated: September 1, 2015

Record last verified: 2015-08