Point of Care Ultrasound Evaluation in the Post-Anesthesia Unit

Loma Linda University128 enrolled

Overview

The purpose of this observational research study is to examine how point-of care ultrasound affects the workup and management of perioperative complications for specific clinical scenarios of low blood pressure (hypotension), low blood oxygen (hypoxemia), in the post- anesthesia care unit (PACU).

Study Type

OBSERVATIONAL

Enrollment

128

Conditions

Hypotension Hypoxemia Altered Mental Status Urine Output Low Chest Pain

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Patients in the post-anesthesia care unit with the following events * Mean arterial blood pressure \<60 mmHg or \<20% of pre-operative baseline mean arterial blood pressure,) hypoxemia (pulse oximetry saturation \<95% or Pao2 \<80), altered mental status, decreased urine output, chest pain/EKG changes, or to confirm endotracheal Lube placement. Exclusion Criteria: * Patients who are not able to have a point of care ultrasound examination in the post anesthesia recovery area.

Locations (1)

Loma Linda University Department of Anesthesiology

Loma Linda, California, United States

Outcomes

Primary Outcomes

post anesthesia care (PACU) unit length of stay (minutes)

The primary outcome marker for the study was post anesthesia care (PACU) unit length of stay (minutes), with a hypothesis that patients receiving a POCUS examination for the cardiovascular or pulmonary event would have a shorter PACU LOS.

Time frame: during year of the study enrollment

Secondary Outcomes

number of diagnosis before and after assessment

Additional markers include a POCUS report completed by the performing attending anesthesiologist that included POCUS findings and the number of potential diagnoses to explain the acute event (hypoxia and/or hypotension) before and after the POCUS exam was performed..

Time frame: during of the study enrollment

Data from ClinicalTrials.gov

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