None listed
Conditions
Brief summary
Following cardiac surgery, patients receive large amounts of fluid in the intensive care unit. This may cause problems with wound healing and delay hospital discharge. A planned randomised controlled trial of a restrictive fluid regime as compared to a more liberal approach utilising advance hemodynamic monitoring, aims to reduce the amount of fluid patients receive and reduce hospital length of stay. This feasibility study aims to determine whether this nurse-led protocol is practicable and feasible and will help answer the research question. It will also aim to evaluate how fluid is administered in other cardiac intensive care centres in New Zealand. This study is simple and inexpensive and if it demonstrates a decreased length of hospital stay then this will represent a significant benefit for both individual patients and the health system
Interventions
Stroke volume variation guided fluid administration. Bedside staff will utilise a protocol to guide fluid administration. If the clinician suspects the patient to have a known or suspected inadequate cardiac output (i.e. the cardiac index is < 2.5L/min/m2; poor perfusion;poor urine output) and the stroke voume is >13 then they will be instructed to administer a fluid bolus of 250mls. This will continue until the patient is extubated or they reach 24 hours post-operative.
Sponsors
Dr Shay McGuinness
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Treatment
Masking
Open (masking not used)
Eligibility
Sex/Gender
All
Age
16 Years to 100 Years
Healthy volunteers
No
Inclusion criteria
Adult patients (>16yrs), expected to have cardiac surgery using cardiopulmonary bypass, written infomred consent
Exclusion criteria
Emergency procedure, intra-aortic balloon pump in situ, chronic atrial fibrillation pre-op, atrial fibrillation post-op, open chest post-op, patient likely to die within 24hours
Outcome results
None listed