Perioperative Goal Directed Therapy (PGDT) in Spinal Surgery in the Prone Position

University of Catania88 enrolled

Overview

This study aims at evaluating if a specific protocol, that can be framed in the innovative concept of Perioperative Goal Directed Therapy (PGDT), based on the evaluation of the Stroke Volume Variation (SVV) - a parameter deriving from the adoption of a minimally invasive advanced hemodynamic monitoring technology with a special sensor called FloTrac® (Edwards) or of a non-invasive monitoring system with the Clearsight® sensor (Edwards) - is able to guarantee a greater precision in the intraoperative management of patients undergoing spinal surgery in prone position.

Study Type

OBSERVATIONAL

Enrollment

Conditions

Intraoperative Hypotension Pulmonary Complication Cardiovascular Complication

Eligibility

Sex: ALLMin age: 18 YearsMax age: 80 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Age between 18-80 years * American Society of Anesthesiologists(ASA) Classification I-II-III * Minor and major spinal surgery * Prone position * Sinus rhythm * Absence of atrial fibrillation. or severe arrhythmia * Informed consent Exclusion Criteria: * Absence of informed consent * Age less than 18 or older than 80 years * Cardiac rhythm abnormalities: atrial fibrillation and / or severe arrhythmia

Locations (1)

Outcomes

Primary Outcomes

Frequency rate of early post-operative complications

Time frame: 7 days

Secondary Outcomes

Comparison between the two commonly adopted anesthetic techniques (totally intravenous anesthesia (TIVA / TCI) or balanced anesthesia) in terms of intraoperative management of the patient and post-operative complication

Time frame: 7 days