Pre-anaesthesia ultrasonography of the subclavian/infraclavicular axillary vein for predicting hypotension after inducing general anaesthesia: A prospective observational study
We examined whether the preoperative diameter and collapsibility index of the SCV or the infraclavicular axillary vein could predict the incidence of hypotension after induction of general anaesthesia in patients undergoing laparoscopic cholecystectomy.
DESIGN
Prospective, observational study.
SETTING
Tertiary university hospital.
PATIENTS
Adults scheduled for laparoscopic cholecystectomy.
INTERVENTION
Sonographic evaluation of the SCV or the axillary vein (SCV-AV) before induction of anaesthesia.
MAIN OUTCOME MEASURES
The main outcome was the association between the SCV-AV measurements (diameter an collapsibility index) and intra-operative hypotension (IOH) after induction of anaesthesia.
RESULTS
Patients who developed IOH had a higher collapsibility index of the SCV-AV during spontaneous breathing (P = 0.009) and deep inspiration (P = 0.002). After adjusting for confounding variables, the collapsibility index of the SCV-AV during spontaneous breathing was not a significant predictor of a decrease in mean arterial blood pressure (MAP) after inducing anaesthesia (P = 0.127), whereas the collapsibility index of the SCV-AV during deep inspiration was a significant predictor (P
Source: European Journal of Anaesthesiology - Category: Anesthesiology Tags: Haemodynamics Source Type: research