Patients in need of free flap facial reconstructive surgery
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: • Participant is willing and able to give informed consent for participation in the study. • Male or Female, aged 18 years or above. • Undergoing free flap surgery, with planned overnight ventilation on the Intensive Care Unit • Willing to allow his or her General Practitioner and consultant, if appropriate, to be notified of participation in the study. Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range
Exclusion criteria
Exclusion criteria: The participant may not enter the study if ANY of the following apply: • Female participants who is pregnant, lactating • Patients withholding consent • Patients in whom pressor agents are contraindicated • Patients who weigh more than 100kg • Patients in whom overnight ventilation is not planned • Patients having repeat surgery within four weeks of the original procedure and trial participation
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: To determine which pressor agent is most effective at maintaining systemic blood pressure whilst having negligible effect upon free tissue flow. ; Secondary Objective: To determine: 1. The relative change in flap perfusion after pressor infusion compared with "normal tissue." 2. Changes in flap flow after pressor infusion 3. Differences in frequency spectrum of skin blood flow between flaps and normal tissue before and after pressor infusion 4. Optimal drug concentration of the agents used to maintain systemic blood pressure and free flap flow. ;Primary end point(s): Absolute change in transfer function (flap vascular resistance) after pressor infusion | — |
Countries
United Kingdom