Effect of Leg Elevation on Prevention of Intraoperative Hypotension During Beach Chair Position

NCT ID: NCT03393559

Last Updated: 2019-12-27

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

50 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-01-24

Study Completion Date

2019-12-21

Brief Summary

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The aim of this study is to evaluate the effect of leg elevation on the prevention of intraoperative hypotension during shoulder surgery in the Beach-chair position. patients undergoing shoulder surgery in the Beach-chair position will be randomly assigned to Group L (with leg elevation) or Group C (no intervention). The primary outcome is the incidence of intraoperative hypotension (mean blood pressure \< 60mmHg or systolic blood pressure \< 80% of baseline). Secondary outcomes are the incidence of intraoperative cerebral desaturation (cerebral oxygen saturation \< 80% of baseline, longer than 30 seconds), total amounts of administered inotropic agents, and systolic blood pressure, heart rate, and cerebral oxygen saturation at various time points.

Detailed Description

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Conditions

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Intraoperative Hypotension Cerebral Ischemia Shoulder Disease

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

randomized controlled trial
Primary Study Purpose

PREVENTION

Blinding Strategy

DOUBLE

Participants Outcome Assessors

Study Groups

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Group L

leg elevation during the beach chair position

Group Type EXPERIMENTAL

leg elevation

Intervention Type PROCEDURE

Patients' leg will be raised by a pillow under both legs and the hip and knee joints will be flexed 45 degrees to position both knees at the heart level.

Group C

Patients' leg will be straightened without any intervention.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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leg elevation

Patients' leg will be raised by a pillow under both legs and the hip and knee joints will be flexed 45 degrees to position both knees at the heart level.

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* adult patients undergoing shoulder surgery in the beach chair position

Exclusion Criteria

* Patients with myocardial infarction
* Patients with pacemaker
* Patients with cerebrovascular disease
* patients with arteriovenous fistula at the opposite arm
* Patients with autonomic nerve disorders
* Patients with hip or knee joint disorder limiting hip or knee flexion
* BMI \> 30 kg/m2
Minimum Eligible Age

19 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Seoul National University Hospital

OTHER

Sponsor Role lead

Responsible Party

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Jin-Tae Kim

Associate Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Jin-Tae Kim, PhD

Role: PRINCIPAL_INVESTIGATOR

Seoul National University Hospital

Locations

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Seoul National University Hospital

Seoul, , South Korea

Site Status

Countries

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South Korea

References

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Nam S, Yoo S, Kim SH, Park SK, Lim YJ, Kim JT. Limited effect of leg elevation in preventing intraoperative hypotension during total shoulder arthroplasty in the beach chair position: a randomized controlled trial. BMC Anesthesiol. 2025 Oct 1;25(1):472. doi: 10.1186/s12871-025-03299-1.

Reference Type DERIVED
PMID: 41034767 (View on PubMed)

Other Identifiers

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H-1712-023-903

Identifier Type: -

Identifier Source: org_study_id

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