Diseases that make a determination of cardiac output and stroke volume variation necessary I97
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: • Planned determination of cardiac output (CO) and stroke volume variation (SVV) by a monitoring procedure in adult cardiac surgical patients. • Written consent of the patient.
Exclusion criteria
Exclusion criteria: • Absolute arrhythmia. • Spontaneous breathing. • ASA> 4 • infections or skin diseases in the area of possible puncture sites. • Participation in another interventional clinical trials. • diseases or disorders that makes the participation in this clinical trial not possible in the opinion of the investigator (support systems in operation (IABP, MECC), hemodynamic instability, catecholamine therapy).
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Sensitivity and specificity obtained with the LiDCO rapid®, the PiCCO® and the ICON® apparatus parameters stroke volume variation (SVV) and pulse pressure variation (PPV) (excluding LiDCO rapid®) for the prediction of fluid responsiveness (change in cardiac output by = 10% by volume rendering) at different tidal volume (validation SVV, PPV) | — |
Secondary
| Measure | Time frame |
|---|---|
| • Sensitivity and specificity of the clinical "Passive Leg Raising test" to predict fluid responsiveness (same direction changes of cardiac output by = 10% after PLRT and volume administration) at different tidal volume (validation PLRT). • difference between the LiDCO rapid® and the ICON® determined hemodynamic parameters cardiac output (CO), stroke volume variation (SVV) and pulse pressure variation (PPV) (excluding LiDCO rapid®) and measured by PiCCO® values ??(validation LiDCO rapid® and ICON® vs. PiCCO®) calibrated taking into account the repetition accuracy of PiCCO® measurement method (PiCCO® vs. PiCCO® not calibrated) at different tidal volumes. • extent and direction of changes in the cardiac output associated with the highest sensitivity and specificity to changes in the parameters of fluid responsiveness (SVV, PPV). | — |
Countries
Germany
Contacts
Klinik für Anästhesiologie, operative Intensivmedizin und SchmerztherapieHelios Klinikum Krefeld