Clinical trial NCT06628648: Hypertension as a Reason for Concellation of Elective Minor Abdominal Surgery
Official title: Hypertension as a Reason for Concellation of Elective Minor Abdominal Surgery
Study type: OBSERVATIONAL
Overall status: RECRUITING
Conditions: Hypertension Secondary
Surgery
Lead sponsor: University Tunis El Manar
Sponsor class: OTHER
First posted: 2024-10-08
Enrollment: 185
Sex: ALL
Minimum age (years): 18
Maximum age (years): 90
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Observational model: COHORT
Time perspective: PROSPECTIVE
Sampling method: NON_PROBABILITY_SAMPLE
Study population: Patients included for this study: proposed for minor abdominal surgery, known hypertensive, prepared for the surgical procedure. Patient recruitment will be carried out over a period of 7 months by the anesthesia team with cooperation from the general surgery team.

Brief summary: During the anesthesia outpatient consultation, patients proposed for minor abdominal surgery, known hypertensive patients are selected.

On the day of the procedure, we check the blood pressure figures. If the numbers are high: SBP ≥ 180 and/or PAD≥110: we start by a filling as well as a dose of 1 mg Midazolam IV and the blood pressure figures are re-evaluated. If 3 measurements blood pressure figures remain above the threshold values: Surgery is postponed and the patient will be included to group (A) for canceled. If the blood pressure figures are correct, the surgery is accepted and the patient will be included in the group (NA) for not canceled.

Detailed description: During the anesthesia outpatient consultation, patients proposed for minor abdominal surgery, known hypertensive patients are selected. If the blood pressure figures are balanced in the previous 12 months, they are included in the study and the anesthesiologist informs them of the study protocol and obtains their consent.

On the day of the procedure, the patient is admitted to the operating room. We begin warming the patient and carry out standard monitoring, then, we check the blood pressure figures. If the numbers are high: SBP ≥ 180 and/or PAD≥110: we start by a filling as well as a dose of 1 mg Midazolam IV and the blood pressure figures are re-evaluated. If 3 measurements blood pressure figures remain above the threshold values: Surgery is postponed and the patient will be included to group (A) for canceled. If the blood pressure figures are correct, the surgery is accepted and the patient will be included in the group (NA) for not canceled.

Eligibility criteria: Inclusion Criteria:

* patients aged 18 or over, consenting
* known hypertensive patients.
* Patients proposed for planned minor abdominal surgery (≤ 2 hours).

Exclusion Criteria:

* patients not premedicated (antihypertensive treatment)

Non-inclusion criteria:

* patient refusal .history of hypertensive emergency within 06 months.

Primary outcomes:
measure: Incidence of surgery canceled due to high blood pressure figures in the operating room.
timeFrame: In the operating room
Secondary outcomes:
measure: Score d'anxiété: Amsterdam Preoperative Anxiety and Information Scale (APAIS)
timeFrame: before entering the operating room
measure: The quality of reception in the operating room
timeFrame: before entering the operating room
measure: History of cancellation for hypertension in the operating room
timeFrame: Pre-operative, at the anesthesia consultation
measure: specify the anti-hypertension molecule
timeFrame: Pre-operative, at the anesthesia consultation
measure: Control and monitoring of hypertension Control and monitoring of hypertension Control and monitoring of hypertension
timeFrame: During the pre-anesthesia consultation
measure: Entrance to the operating room: on foot, chair or trolley
timeFrame: before entering the operating room
measure: Day of the week
timeFrame: before entering the operating room
measure: Waiting time before entering the operating room (in minutes)
timeFrame: before entering the operating room
Other outcomes:
Locations:
city: Nabeul
country: Tunisia
facility: HIBET ALLAH ktata
Study officials:
affiliation: maamouri nabeul
name: BENALI MECHAAL, Professor
role: PRINCIPAL_INVESTIGATOR
References: