Cargando…

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...

Descripción completa

Detalles Bibliográficos
Autores principales: Ghisi, Daniela, Garroni, Marco, Giannone, Sandra, De Grandis, Giovanni, Fanelli, Andrea, Sorella, Maria Cristina, Bonarelli, Stefano, Melotti, Rita Maria
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Mattioli 1885 2020
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
_version_ 1783659680284803072
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
work_keys_str_mv AT ghisidaniela noninvasivehaemodynamicmonitoringwithclearsightinpatientsundergoingspinalanaesthesiafortotalhipreplacementaprospectiveobservationalcohortstudy
AT garronimarco noninvasivehaemodynamicmonitoringwithclearsightinpatientsundergoingspinalanaesthesiafortotalhipreplacementaprospectiveobservationalcohortstudy
AT giannonesandra noninvasivehaemodynamicmonitoringwithclearsightinpatientsundergoingspinalanaesthesiafortotalhipreplacementaprospectiveobservationalcohortstudy
AT degrandisgiovanni noninvasivehaemodynamicmonitoringwithclearsightinpatientsundergoingspinalanaesthesiafortotalhipreplacementaprospectiveobservationalcohortstudy
AT fanelliandrea noninvasivehaemodynamicmonitoringwithclearsightinpatientsundergoingspinalanaesthesiafortotalhipreplacementaprospectiveobservationalcohortstudy
AT sorellamariacristina noninvasivehaemodynamicmonitoringwithclearsightinpatientsundergoingspinalanaesthesiafortotalhipreplacementaprospectiveobservationalcohortstudy
AT bonarellistefano noninvasivehaemodynamicmonitoringwithclearsightinpatientsundergoingspinalanaesthesiafortotalhipreplacementaprospectiveobservationalcohortstudy
AT melottiritamaria noninvasivehaemodynamicmonitoringwithclearsightinpatientsundergoingspinalanaesthesiafortotalhipreplacementaprospectiveobservationalcohortstudy