Lower Extremity Elevation to Minimize Hemodynamic Instability During Induction of General Anesthesia

The University of Texas Health Science Center, Houston200 enrolled

Overview

The purpose of this study is to determine if lower extremity elevation (LEE) will reduce the incidence of postinduction hypotension, to compare the utilization of vasoactive medications after induction in patients with LEE and patients without LEE and to determine if LEE will increase measured cardiac output

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

PREVENTION

Masking

NONE

Enrollment

200

Conditions

Post Induction Hypotension

Interventions

Group 1: LEEPROCEDURE

Patients will be in supine position during induction with a 12" wedge placed at the level of the Achilles tendon (LEE)

Eligibility

Sex: ALLMin age: 18 YearsMax age: 70 Years

Medical Language ↔ Plain English

Inclusion Criteria: * American Society of Anesthesiologists (ASA)3 or lower * Patients requiring general anesthesia Exclusion Criteria: * Allergic reaction to drugs commonly used for general anesthesia including fentanyl, midazolam, propofol, ephedrine and phenylephrine * Pregnant women * Requiring rapid sequence induction * Prisoners * Patient refusal * Emergency Surgery

Locations (1)

The University of Texas Health Science Center at Houston

Houston, Texas, United States

RECRUITING

Outcomes

Primary Outcomes

Number of participants that demonstrate hypotension

Hypotension is defined as the reduction in mean arterial pressure by 20% or greater comparing the blood pressure measured before induction of anesthesia