Left Ventricular Diastolic Function During Anesthesia Induction

NCT ID: NCT03522194

Last Updated: 2019-03-12

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

Total Enrollment

200 participants

Study Classification

OBSERVATIONAL

Study Start Date

2017-04-01

Study Completion Date

2018-09-27

Brief Summary

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Diastolic dysfunction is an important cause of hemodynamic instability in the perioperative field.Therefore this study aims to investigate the influence of existing diastolic dysfunction or deterioration of diastolic function on hemodynamic stability during induction of anesthesia and postoperative complications. The impact of different anesthetics on diastolic function is investigated.

Detailed Description

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In this prospective observational study two cohorts of patients with different anesthesia regimes are investigated. Anesthesia is maintained with sevoflurane or propofol. Before induction of anesthesia a transthoracic echocardiography is performed to examine systolic and diastolic function. Immediately after induction, during maintenance and after completion of anesthesia any changes of diastolic function are examined with transthoracic echocardiography. All anesthetic medications, fluids, vasoactive medications and catecholamines are registered.

Conditions

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Left Ventricular Diastolic Dysfunction

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Sevoflurane

Anesthesia maintenance

Sevoflurane

Intervention Type DRUG

Anesthesia maintenance with Sevoflurane

Propofol

Anesthesia maintenance

Propofol

Intervention Type DRUG

Anesthesia maintenance with Propofol

Interventions

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Sevoflurane

Anesthesia maintenance with Sevoflurane

Intervention Type DRUG

Propofol

Anesthesia maintenance with Propofol

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Patients older than 60 years scheduled for general anesthesia

Exclusion Criteria

* Mitral regurgitation or stenosis \> I°
* Sp. mitral valve repair or replacement
* Pericardial effusion
* Atrial fibrillation/flutter
* Patients with pacemaker
* BMI \> 35 kg/m2
Minimum Eligible Age

60 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Universitätsklinikum Hamburg-Eppendorf

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Katharina Roeher, Dr. med.

Role: PRINCIPAL_INVESTIGATOR

Universitätsklinikum Hamburg-Eppendorf

Locations

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Universitätsklinikum Hamburg-Eppendorf

Hamburg, , Germany

Site Status

Countries

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Germany

References

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Kahl U, Vens M, Pollok F, Menke M, Duckstein C, Gruetzmacher J, Schirren L, Yu Y, Fischer M, Zollner C, Goepfert MS, Roeher K. Do Elderly Patients With Diastolic Dysfunction Require Higher Doses of Norepinephrine During General Anesthesia for Noncardiac Surgeries? A Prospective Observational Study. Anesth Analg. 2021 Feb 1;132(2):420-429. doi: 10.1213/ANE.0000000000005304.

Reference Type DERIVED
PMID: 33264119 (View on PubMed)

Other Identifiers

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PV 5436

Identifier Type: -

Identifier Source: org_study_id

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