The Ability of Peripheral Perfusion Index To Detect Changes of Hemodynamics in Patients With Pacemaker
Study Details
Study Description
Brief Summary
Pacemakers are widely used in postcardiotomy patients to avoid severe arrhythmia. The peripheral perfusion index (PI) has been considered as an effective parameter evaluating the circulation. In this study, investigators aim to avaluate the ability of peripheral perfusion index to detect changes of hemodynamics in postcardiotomy patients with pacemakers.
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
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Detailed Description
Pacemakers are widely used in postcardiotomy patients to avoid severe arrhythmia. The peripheral perfusion index (PI) has been considered as an effective parameter evaluating the circulation. In this study, investigators aim to evaluate the ability of peripheral perfusion index to detect changes of hemodynamics (cardiac output or storke volume,et al) in postcardiotomy patients with pacemakers.
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| pacemaker dependent patients after cardiac surgery Pacemakers are widely used in cardiotomy patients, while it's common that the patients happen to be pacemaker dependent. When the doctor decides to set the heart rate of the pacemaker, we record the hemodynamic parameters and peripheral perfusion index from 70-80-90-100-110 bpm. |
Outcome Measures
Primary Outcome Measures
- Cardiac output [During the study procedure]
Measurement of cardiac output by Flotrac ,the metric is L/min.
- stroke volume [During the study procedure]
Measurement of stroke volume by Flotrac ,the metric is ml.
- Peripheral perfusion index [During the study procedure]
Measurement of Peripheral perfusion index by masimo radical.
Eligibility Criteria
Criteria
Inclusion Criteria:
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age >=18 years old;
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postcardiotomy
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placement of temportary pacemaker during the surgery
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dependence of pacemaker (abscence of autonomic cardiac rhythm）
Exclusion Criteria:
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hemodynamic unstable （high dose of vasoactive drugs）
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fingers ischemia, cannot monitor the peripheral perfusion index
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | Zhongshan Hospital, Fudan University | Shanghai | Shanghai | China | 200032 |
Sponsors and Collaborators
- Shanghai Zhongshan Hospital
Investigators
- Study Director: Zhe Luo, MD PhD, Fudan University
Study Documents (Full-Text)
None provided.More Information
Publications
- Abdel-Ghaffar HS, Abdel-Wahab AH, Roushdy MM. Using the Perfusion Index to predict changes in the depth of anesthesia in children compared with the A-line Autoregression Index: an observational study. Braz J Anesthesiol. 2021 May 12. pii: S0104-0014(21)00198-6. doi: 10.1016/j.bjane.2021.04.030. [Epub ahead of print]
- Bazaraa H, Roby S, Salah E, Algebaly H. Assessment of Tissue Perfusion Using the Peripheral Perfusion Index and Lactate Clearance in Shock in Pediatric Patients. Shock. 2021 Dec 1;56(6):933-938. doi: 10.1097/SHK.0000000000001811.
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