Pre-Op Intake | Ad libitum clears | Usual Care | Difference | ||
Height—mean (std) | 173.1 | 11.3 | 174.8 | 11.4 | -1.7 |
Weight—mean (std) | 92 | 25.2 | 91.9 | 18.7 | 0.1 |
Heart rate—median (IQR) | 69.5 | (60, 83) | 67 | (60, 82) | 2 |
Blood Pressure Systolic—mean (std) | 132.3 | 19.8 | 137.4 | 21 | -5 |
Blood Pressure Diastolic—mean (std) | 74.8 | 12.1 | 75.1 | 10.8 | -0.3 |
SpO2—median (IQR) | 97 | (96, 99) | 97 | (96, 98) | 0 |
ASA Class—n (%) | |||||
I | 0 | 0.0% | 0 | 0.0% | 0.0% |
II | 5 | 5.6% | 7 | 7.7% | -2.1% |
III | 57 | 63.3% | 59 | 64.8% | -1.5% |
IV | 27 | 30% | 25 | 27.5% | 2.5% |
Not available (surgery cancelled) | 1 | 1.1% | 0 | 0.0% | 1.1% |
Rhythm—n (%) | |||||
Sinus Rhythm | 48 | 53.3% | 58 | 63.7% | -10.4% |
Atrial Fibrillation | 26 | 28.9% | 23 | 25.3% | 3.6% |
Other/Not Documented | 16 | 17.8% | 10 | 11.0% | 6.8% |
Time from last clear liquid to Scheduled Procedure (minutes)—median (IQR) | 210 | (150, 510) | 570 | (210, 750) | -180a |
First Case – n (%) | 59 | 65.6% | 58 | 63.7% | 1.8% |
First Case Delay (% of first cases) – n (%) | 0 | 0.0% | 4 | 6.9% | -6.9% |
Duration of delay in minutes- median (IQR) | – | – | 241 | (159, 312) | – |
Intra-Op | Ad libitum clears | Usual Care | Difference | ||
Actual Procedure—n (%) | |||||
Transcatheter Aortic Valve Replacement | 21 | 23.3% | 24 | 26.4% | -3.0% |
Arrhythmia Ablation | 68 | 75.6% | 67 | 73.6% | 1.9% |
Other | 1 | 1.1% | 0 | 0.0% | 1.1% |
Type of Anesthesia—n (%) | |||||
General with Endotracheal Tube | 56 | 62.2% | 57 | 62.6% | -0.4% |
Monitored Aesthesia Care/Deep Sedation | 33 | 36.7% | 34 | 37.4% | -0.7% |
Not applicable (surgery cancelled) | 1 | 1.1% | 0 | 0.0% | 1.10% |
Emesis—n (%) | 0 | 0.0% | 0 | 0.0% | 0.0% |
Total contrast recorded- n (%) | 19 | 21.1% | 26 | 28.6% | -7.5% |
Total contrast—median (IQR) | 60 | (35, 70) | 67.5 | (40, 110) | -11 |
Vasopressor—n (%) | 56 | 62.2% | 55 | 60.4% | 1.8% |
Phenylephrine | 49 | 54.4% | 46 | 50.5% | 3.9% |
Epinephrine | 0 | 0.0% | 1 | 1.1% | -1.1% |
Norepinephrine | 7 | 7.8% | 13 | 14.3% | -6.5% |
Total Crystalloids—median (IQR) | 1453 | (700, 2000) | 1375 | (625, 2000) | 40 |
Any Colloids—n (%) | 1 | 1.1% | 1 | 1.1% | 0% |
Estimated Blood Loss- median (IQR) | 0 | (0, 5) | 0 | (0, 20) | 0 |
Any allogeneic red blood cells—n (%) | 1 | 1.1% | 1 | 1.1% | 0% |
Urine Output- median (IQR) | 370 | (0, 600) | 225 | (0, 510) | 25 |
Post-op | Ad libitum clears | Usual Care | Difference | ||
Heart rate—median (IQR) | 65 | (58, 74) | 64 | (56, 75) | 0 |
Blood Pressure Systolic—mean (std) | 118.2 | 21.3 | 123.1 | 22.4 | -4.9 |
Blood Pressure Diastolic—mean (std) | 63.3 | 12.1 | 64.7 | 12.6 | -1.4 |
SpO2—median (IQR) | 98 | (96, 100) | 97 | (95, 99) | 1a |
Rhythm—n (%) | |||||
Not Documented | 10 | 11.1% | 9 | 9.9% | 1.2% |
Sinus Rhythm | 64 | 71.1% | 65 | 71.4% | -0.3% |
Atrial Fibrillation | 4 | 4.4% | 3 | 3.3% | 1.1% |
Other/Not Documented | 22 | 24.4% | 23 | 25.3% | -0.8% |
Post-Op Labs Recorded—n (%) | 61 | 67.8% | 61 | 67% | 0.7% |
Glucose—median (IQR) | 114.5 | (104, 140) | 118 | (105, 132) | 0 |
Bun—median (IQR) | 18 | (15, 21) | 17.5 | (14, 21) | 0 |
Creatinine—median (IQR) | 1 | (0.7, 1.1) | 1 | (0.7, 1.1) | 0.01 |
Supplemental O2—n (%) | 8 | 8.9% | 7 | 7.7% | 1.2% |
Ventilated postoperatively—n (%) | 1 | 1.1% | 0 | 0.0% | 1.1% |
Post-Op Opioids—n (%) | 28 | 31.1% | 24 | -26.4% | 4.7% |
SpO2 = oxygen saturation |