Jugular Ultrasound for Spinal Hypotension

Launched by CAIRO UNIVERSITY · May 23, 2025

Keywords

ClinConnect Summary

This clinical trial is studying a new way to predict and manage low blood pressure that can happen after spinal anesthesia, especially in older patients. Low blood pressure after this type of anesthesia can be quite common, affecting up to 73% of elderly patients. The researchers believe that using ultrasound to measure the internal jugular vein (a blood vessel in the neck) could help doctors assess a patient's blood volume more accurately before surgery, which may help reduce risks like heart attacks or strokes during and after surgery.

To participate in this study, you must be over 65 years old and be scheduled for an elective surgery that requires spinal anesthesia while lying on your back. However, if you have certain health issues, such as obesity (a body mass index over 35), uncontrolled high blood pressure, or other specific heart problems, you may not qualify. The trial is not yet recruiting participants, but if you are eligible and choose to join, you can expect to undergo a simple ultrasound test before your surgery to help ensure your safety and well-being during the procedure.

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • • Age \> 65 years old.
• • Both sexes.
• • American Society of Anesthesiologists (ASA) physical status I, II , III.
• • Elective surgeries Under spinal anesthesia in the supine position.
• Exclusion Criteria:
• • • Body Mass Index (BMI) more than 35 kg/m2.
• • Uncontrolled hypertension.
• • Ejection fraction less than 40%
• • Emergency cases.
• • Absolute or relative contraindications to spinal anesthesia.
• • Patients with a baseline arterial systolic blood pressure (SBP) less than 90 mmHg or mean arterial blood pressure (MBP) less than 65 mmHg.