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Идёт набор NCT07022210

Incidence of Hypotension in the Post-anesthesia Care Unit (PACU).

— Наблюдательное Hypotension During Surgery Surgery-Complications

Ориентир для пациента и семьи

Простыми словами

Автоматическая сводка по структурированным данным реестра. Она помогает сориентироваться, но не заменяет официальный протокол или оценку врача.

Что изучают
Это наблюдательное исследование: исследуемое лечение участникам по протоколу не назначают.
Кому может быть актуально
Состояния в реестре: Hypotension During Surgery, Surgery-Complications. Базовые параметры: 18 лет — 105 лет · Все.
Что важно проверить
Возраст, диагноз и пол — только базовые ориентиры. Предыдущее лечение, анализы и другие обязательные условия указаны ниже в критериях участия.
Где проводится
Чехия
Следующий шаг
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Обзор

The perioperative period poses a heightened risk of complications for patients, including hypotension. While the issue of intraoperative hypotension is well-documented in medical literature, the occurrence and causes of hypotension in the post-anesthesia care unit often receive less attention. This phase of postoperative care, however, is vital for ensuring patient stability and preventing severe consequences. Failure to identify and manage a drop in blood pressure can lead to hypoperfusion of critical organs, increasing the risk of morbidity and mortality. The aim of this study is to examine the frequency of hypotension in the post-anesthesia care unit-defined as systolic blood pressure \<90 mmHg or a drop of more than 20% from baseline-and to identify factors contributing to its development.

Подробное описание

The perioperative period is a critical time for patients, marked by an increased risk of various complications, including hypotension. While intraoperative hypotension is extensively studied in medical literature, the occurrence and underlying causes of hypotension in the post-anesthesia care unit (PACU) often remain overlooked. This phase of postoperative care is essential for stabilizing the patient and preventing severe outcomes. A failure to identify and adequately address a drop in blood pressure during this time can result in hypoperfusion of vital organs, increasing the likelihood of morbidity and mortality.

Hypotension in the PACU is defined as a systolic blood pressure below 90 mmHg or a decrease exceeding 20% compared to the patient's baseline measurements. The aim of this research is to explore the prevalence of hypotension in the PACU and to analyze the factors contributing to its occurrence. By improving the understanding of this issue, the study seeks to enhance patient outcomes through timely identification and management of hypotension in this crucial phase of care.

Первичные конечные точки

  • Incidence of hypotension in the post-anesthesia care unit (PACU). [Срок оценки: 0. postoperative day]
Вторичные конечные точки (12)
  • Duration of the operation [Срок оценки: 0. postoperative day]
  • ASA classification (American Society of Anesthesiologists classification). [Срок оценки: 0. postoperative day]
  • Type of anesthesia. [Срок оценки: 0. postoperative day]
  • Blood loss during the operation [Срок оценки: 0. postoperative day]
  • Fluid balance during the surgery [Срок оценки: 0. postoperative day]
  • Surgical specialty [Срок оценки: 0. postoperative day]
  • Fluid administration in the recovery room. [Срок оценки: 0. postoperative day]
  • Administration of vasopressors. [Срок оценки: 0. postoperative day]
  • Blood pressure monitoring. [Срок оценки: 0. postoperative day]
  • Heart rate monitoring. [Срок оценки: 0. postoperative day]
  • Patient repositioning [Срок оценки: 0. postoperative day]
  • Transfer of the patient to the ICU due to hemodynamic instability [Срок оценки: 0. postoperative day]

Критерии участия

Критерии включения

  • patients over 18 years old
  • patients undergoing a procedure under general anesthesia
  • patients who have consented to data processing
  • postoperative stay in PACU

Критерии исключения

  • patients younger than 18 years old.
  • patients transferred directly to the ICU/Anesthesiology and Resuscitation Department after surgery without staying in the recovery room.
  • patients with incomplete medical documentation or missing blood pressure values in the recovery room.
  • patients with a pre-existing diagnosis of resistant hypotension or unstable hemodynamics before surgery
  • patients with a history of long-term use of anxiolytics, antipsychotics, or other psychotropic medications that may affect cognitive function, emotional state, or predictive outcomes
  • patient refusal to participate in the study (including cases where they initially consented), with an emphasis on respecting patient autonomy

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Да

Дизайн исследования

Модель наблюдения
Когортное

Центры проведения

Чехия · 1 центр
  • Tomas Bata regional Hospital — Zlín

Идентификаторы

NCT: NCT07022210 · 2025-12

Первоисточники (государственные реестры)

Открыть это исследование на ClinicalTrials.gov ↗