This study is not yet accepting patients

Continuous BP Monitoring During Sedation for Endoscopy

a study on Gastrointestinal Endoscopy

Summary

Eligibility
for people ages 50 years and up (full criteria)
Dates
study started
study ends around
Principal Investigator
by Neal Fleming, MD, PhD

Description

Summary

This is a single-site observational, before/after cohort study comparing intermittent blood pressure measurement using to continuous noninvasive blood pressure measurement. The study is designed to determine the impact of the use of continuous noninvasive blood pressure monitoring on the incidence of hypotension in high-risk patients undergoing sedation for upper or lower endoscopic procedures.

Official Title

Continuous Noninvasive Blood Pressure Monitoring During Sedation for High-Risk Patients Undergoing Gastrointestinal Endoscopy

Details

This is a single-site observational, before/after cohort study comparing intermittent blood pressure measurement using an oscillometric arm cuff to continuous noninvasive blood pressure measurement on the incidence of hypotension in high-risk patients undergoing sedation for upper or lower endoscopic procedures.

The primary aim is to determine the impact of the use of continuous noninvasive blood pressure monitoring on the incidence of hypotension. The secondary aims are to evaluate the impact of continuous blood pressure monitoring on total IV fluid administered, total vasopressor administered, intra-operative depth of sedation, post-operative nausea and vomiting (PONV), and the time to discharge readiness.

Keywords

High-Risk Patients Undergoing Gastrointestinal Endoscopy, Hypotension, endoscopy, continuous blood pressure monitoring, Hypotension, continuous noninvasive blood pressure monitoring

Eligibility

You can join if…

Open to people ages 50 years and up

  • Age ≥ 50 years
  • American Society of Anesthesiologists (ASA) Physical Status ≥ 3
  • Scheduled for upper or lower endoscopic procedure with planned propofol administration
  • Planned oscillometric blood pressure monitoring using arm cuff without an arterial pressure catheter.

You CAN'T join if...

  • Age <50 years
  • ASA Physical Status 1 or 2
  • Patients known to be pregnant
  • Patients with an existing arterial pressure catheter
  • Patients on mechanical circulatory support
  • Patients with planned intubation for procedure
  • Patients with a difference in systolic blood pressure measurement between right and left upper extremities > 10 mmHg
  • Patients with extreme contraction of the smooth muscle in the arteries and arterioles of the arm and hand, such as may be present with Raynaud's disease
  • Patients with an inability to place the noninvasive finger cuffs due to anatomy, skin condition, or obstructive paraphernalia (such as false nails)

Lead Scientist at UC Davis

  • Neal Fleming, MD, PhD
    Professor Emeritus, MED: Anesth & Pain Medicine, School of Medicine. Authored (or co-authored) 80 research publications

Details

Status
not yet accepting patients
Start Date
Completion Date
(estimated)
Sponsor
University of California, Davis
ID
NCT07930273
Study Type
Observational
Participants
Expecting 200 study participants
Last Updated