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Non-invasive haemodynamic monitoring with Clearsight in patients undergoing spinal anaesthesia for total hip replacement. A prospective observational cohort study
BACKGROUND AND AIM OF THE WORK: Patients undergoing elective primary total hip replacement and spinal anesthesia may encounter significant hemodynamic instability. OBJECTIVE: The study is aimed at observing the haemodynamic modifications after spinal anaesthesia during total hip replacement in patie...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Mattioli 1885
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7927492/ https://www.ncbi.nlm.nih.gov/pubmed/33525276 http://dx.doi.org/10.23750/abm.v91i4.8665 |
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author | Ghisi, Daniela Garroni, Marco Giannone, Sandra De Grandis, Giovanni Fanelli, Andrea Sorella, Maria Cristina Bonarelli, Stefano Melotti, Rita Maria |
author_facet | Ghisi, Daniela Garroni, Marco Giannone, Sandra De Grandis, Giovanni Fanelli, Andrea Sorella, Maria Cristina Bonarelli, Stefano Melotti, Rita Maria |
author_sort | Ghisi, Daniela |
collection | PubMed |
description | BACKGROUND AND AIM OF THE WORK: Patients undergoing elective primary total hip replacement and spinal anesthesia may encounter significant hemodynamic instability. OBJECTIVE: The study is aimed at observing the haemodynamic modifications after spinal anaesthesia during total hip replacement in patients managed to “preload independence” with goal directed fluid therapy (GDFT) and monitored non-invasively with Clearsight. METHODS: Thirty patients, aged 50-80 years, with an American Society of Anaesthesiologists’ (ASA) score II-III, undergoing elective primary total hip replacement and spinal anaesthesia were enrolled. Patients were monitored with the EV1000 platform and the Clearsight finger-cuff and managed with a goal directed fluid therapy. RESULTS: The 79% of the population showed preload independence at baseline. After spinal, the 93% did not show a significant mean arterial pressure reduction. In our population, 79% reported a decrease >10% of the stroke volume during surgery, while 66% in the Recovery Room. Patients showed an improvement in mean arterial pressure, systemic vascular resistances indexed (SVRI), stroke volume (SV) and stroke volume indexed (SVI) at spinal resolution compared to baseline. CONCLUSIONS: Our cohort population showed hemodynamic stability throughout the study period, with increased SV and decreased SVRI at spinal resolution compared to basal values. Further randomized prospective studies are advocated in the same setting. (www.actabiomedica.it) |
format | Online Article Text |
id | pubmed-7927492 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Mattioli 1885 |
record_format | MEDLINE/PubMed |
spelling | pubmed-79274922021-03-04 Non-invasive haemodynamic monitoring with Clearsight in patients undergoing spinal anaesthesia for total hip replacement. A prospective observational cohort study Ghisi, Daniela Garroni, Marco Giannone, Sandra De Grandis, Giovanni Fanelli, Andrea Sorella, Maria Cristina Bonarelli, Stefano Melotti, Rita Maria Acta Biomed Original Article BACKGROUND AND AIM OF THE WORK: Patients undergoing elective primary total hip replacement and spinal anesthesia may encounter significant hemodynamic instability. OBJECTIVE: The study is aimed at observing the haemodynamic modifications after spinal anaesthesia during total hip replacement in patients managed to “preload independence” with goal directed fluid therapy (GDFT) and monitored non-invasively with Clearsight. METHODS: Thirty patients, aged 50-80 years, with an American Society of Anaesthesiologists’ (ASA) score II-III, undergoing elective primary total hip replacement and spinal anaesthesia were enrolled. Patients were monitored with the EV1000 platform and the Clearsight finger-cuff and managed with a goal directed fluid therapy. RESULTS: The 79% of the population showed preload independence at baseline. After spinal, the 93% did not show a significant mean arterial pressure reduction. In our population, 79% reported a decrease >10% of the stroke volume during surgery, while 66% in the Recovery Room. Patients showed an improvement in mean arterial pressure, systemic vascular resistances indexed (SVRI), stroke volume (SV) and stroke volume indexed (SVI) at spinal resolution compared to baseline. CONCLUSIONS: Our cohort population showed hemodynamic stability throughout the study period, with increased SV and decreased SVRI at spinal resolution compared to basal values. Further randomized prospective studies are advocated in the same setting. (www.actabiomedica.it) Mattioli 1885 2020 2020-11-10 /pmc/articles/PMC7927492/ /pubmed/33525276 http://dx.doi.org/10.23750/abm.v91i4.8665 Text en Copyright: © 2020 ACTA BIO MEDICA SOCIETY OF MEDICINE AND NATURAL SCIENCES OF PARMA http://creativecommons.org/licenses/by-nc-sa/4.0 This work is licensed under a Creative Commons Attribution 4.0 International License |
spellingShingle | Original Article Ghisi, Daniela Garroni, Marco Giannone, Sandra De Grandis, Giovanni Fanelli, Andrea Sorella, Maria Cristina Bonarelli, Stefano Melotti, Rita Maria Non-invasive haemodynamic monitoring with Clearsight in patients undergoing spinal anaesthesia for total hip replacement. A prospective observational cohort study |
title | Non-invasive haemodynamic monitoring with Clearsight in patients undergoing spinal anaesthesia for total hip replacement. A prospective observational cohort study |
title_full | Non-invasive haemodynamic monitoring with Clearsight in patients undergoing spinal anaesthesia for total hip replacement. A prospective observational cohort study |
title_fullStr | Non-invasive haemodynamic monitoring with Clearsight in patients undergoing spinal anaesthesia for total hip replacement. A prospective observational cohort study |
title_full_unstemmed | Non-invasive haemodynamic monitoring with Clearsight in patients undergoing spinal anaesthesia for total hip replacement. A prospective observational cohort study |
title_short | Non-invasive haemodynamic monitoring with Clearsight in patients undergoing spinal anaesthesia for total hip replacement. A prospective observational cohort study |
title_sort | non-invasive haemodynamic monitoring with clearsight in patients undergoing spinal anaesthesia for total hip replacement. a prospective observational cohort study |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7927492/ https://www.ncbi.nlm.nih.gov/pubmed/33525276 http://dx.doi.org/10.23750/abm.v91i4.8665 |
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