Echo-guided Hemodynamic Management Strategy in Elderly Patients Undergoing Noncardiac Surgery
| Status: | Completed |
|---|---|
| Conditions: | Cardiology |
| Therapuetic Areas: | Cardiology / Vascular Diseases |
| Healthy: | No |
| Age Range: | 70 - Any |
| Updated: | 8/30/2018 |
| Start Date: | September 2014 |
| End Date: | August 27, 2018 |
Echocardiography-guided Hemodynamic (EGHEM) Management Strategy to Improve Clinical Outcomes for Elderly Patients With Left Ventricular Diastolic Dysfunction (LVDD) Undergoing Non-cardiac Surgery
Elderly patients are the fastest growing surgical population and present with increased risk
of postoperative cardiac problems, especially congestive heart failure. Diastolic dysfunction
is common in the elderly population and increases the risk of major adverse cardiac events
after surgery. This project will use dynamic measurements of diastolic filling pressures by
echocardiography for goal-directed fluid and drug management during surgery to determine
whether this reduces serious cardiac events related to diastolic dysfunction after surgery in
this high-risk population.
of postoperative cardiac problems, especially congestive heart failure. Diastolic dysfunction
is common in the elderly population and increases the risk of major adverse cardiac events
after surgery. This project will use dynamic measurements of diastolic filling pressures by
echocardiography for goal-directed fluid and drug management during surgery to determine
whether this reduces serious cardiac events related to diastolic dysfunction after surgery in
this high-risk population.
Inclusion Criteria:
- Age 70 years and older
- Echocardiographic Evidence of Grade I, II or III LVDD on Preoperative Transthoracic
Echocardiography (TTE) examination
- Undergoing Vascular Surgery including but not limited to : Lower extremity bypass,Open
abdominal aortic aneurysm repair
Exclusion Criteria:
- Patients with expected hospital stay < 24 hours
- Inability to undergo TEE and Transesophageal Echocardiography(TTE)
- Clinical evidence/suspicion of elevated Intercranial Pressure (ICP)
- Preoperative shock or systemic sepsis
- Emergency operation
- American Society of Anesthesiologists Status V
- Participation in another clinical trial
- General Anesthesia not planned for procedure
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