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Internal Jugular Vein Ultrasound for Predicting Hypotension in Geriatric Patients Undergoing Spinal Anesthesia

Recruitingn/aAges 65 Years - anyAllDr Abdurrahman Yurtaslan Ankara Oncology Training…
NCT07411313 on ClinicalTrials.gov ↗
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In plain words

What the trial is, and whether it could suit you

Spinal anesthesia-induced hypotension is a common and clinically significant complication in geriatric patients. Accurate preoperative assessment of intravascular volume status may help identify patients at risk. Internal jugular vein (IJV) ultrasonography is a noninvasive and easily applicable bedside method that reflects venous volume status. This prospective observational study aims to evaluate the role of preoperative IJV ultrasonographic measurements in predicting hypotension following spinal anesthesia in geriatric patients. Patients aged 65 years and older undergoing elective surgery under spinal anesthesia will be included. Preoperative IJV diameter, cross-sectional area, and collapsibility index will be measured using ultrasonography. Hemodynamic parameters will be monitored intraoperatively, and the occurrence of hypotension after spinal anesthesia will be recorded. The predict

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📋 Eligibility rules (as published)
Inclusion Criteria: * Age ≥65 years * Scheduled to undergo surgery under spinal anesthesia * American Society of Anesthesiologists (ASA) physical status I-III * Able and willing to provide written informed consent Exclusion Criteria: * Did not provide written informed consent * Undergoing emergency surgery * Body mass index (BMI) ≥40 kg/m² * Receiving angiotensin-converting enzyme (ACE) inhibitors * Pre-spinal systolic blood pressure \<90 mmHg or mean arterial pressure \<70 mmHg * Unable to tolerate the supine position * Left ventricular ejection fraction \<40% * Requiring sedoanalgesia in addition to spinal anesthesia or conversion to general anesthesia
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What it tests

  • Not applicable- observational study
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Where

1 site
Abdurrahman Yurtaslan Ankara Oncology Training and Research Hospital
Ankara, Turkey (Türkiye)
🤝 Taking part is your choice, and you can leave at any time. Only the trial team can confirm you are eligible — always decide together with your own doctor.
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