This prospective observational study aims to evaluate the predictive value of preoperative carotid Doppler ultrasound parameters, including carotid velocity-time integral (carotid VTI) and corrected carotid flow time (ccFT), for post-induction hypotension in adult patients undergoing elective non-cardiac surgery under general anesthesia. Hemodynamic instability during anesthesia induction is a common and clinically important problem associated with adverse perioperative outcomes. Carotid Doppler ultrasonography provides a rapid and non-invasive method for assessing hemodynamic status at the bedside. In this study, carotid Doppler measurements will be performed in the preoperative period and their association with post-induction hypotension will be analyzed. The results of this study may help identify patients at risk for hypotension and improve perioperative hemodynamic management.
Eligibility
Sex
ALL
Min age
18 Years
Max age
65 Years
Healthy volunteers
No
Inclusion Criteria:
* Adult patients aged 18-65 years
American Society of Anesthesiologists (ASA) physical status I-II
Scheduled for elective non-cardiac surgery under general anesthesia
Planned endotracheal intubation
Ability to provide written informed consent
Exclusion Criteria:
Refusal to participate in the study
Planned emergency surgery
Planned cardiac surgery
Presence of carotid artery stenosis greater than 50%
Moderate to severe valvular heart disease
Presence of atrial fibrillation or significant arrhythmia
Advanced heart failure
Preoperative hypotension or hemodynamic instability
Inability to obtain reliable ultrasonographic measurements
\-
Primary outcome measure(s)
Post-induction hypotension — From anesthesia induction until 10 minutes after tracheal intubation or until the start of surgery, whichever occurs first. Occurrence of post-induction hypotension after anesthesia induction, defined as either a decrease in mean arterial pressure (MAP) of ≥30% from baseline or a MAP \<65 mmHg sustained for at least 1 minute.
Trial sites (1)
Facility
City
Region
Status
Necmettin Erbakan University
Konya
Turkey (Türkiye)
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This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.
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