Patients undergoing surgery for pancreatic, gastric or esophageal cancer. MedDRA version: 20.0 Level: PT Classification code 10068093 Term: Gastrointestinal surgery System Organ Class: 10042613 - Surgical and medical procedures MedDRA version: 20.0 Level: LLT Classification code 10011508 Term: Crystalloid colloid fluid replacement System Organ Class: 10042613 - Surgical and medical procedures
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: All patients eligible for relevant surgery. Age > 18 years. Informed concent. 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 20 F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range 40
Exclusion criteria
Exclusion criteria: Preoperative renal failure (eGFR < 30 or renal replacement therapy), lithium treatment, body weight < 40 kg, not sinus-rythtm, aortic valve regurgitation, severe haert failure with hypervolemia, traumatic brain injury, known allergic reactions to albumin. Patients with pancreatic cancer, who have been down-staged using chemotherapy and/or radiation therapy. Patients with on-resectable tumor. Patients declining informed concent.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: To investigate differences in intraoperative global and local oxygen delivery in goal directed haemodynamic optimisation with crystalloids versus colloids.;Secondary Objective: To investigate potential differences between the abovementioned therapeutics with regard to intraoperative haemodanamic stability, fluid balance, body weight, fluid related complications, and length of stay in ICU and hospital for 30 days postoperatively.;Primary end point(s): Changes in intraoperative global and local (mesenterial) oxygen delivery (DO2 og mDO2).;Timepoint(s) of evaluation of this end point: T0 – Baseline, immediately after induction of general anaesthesia. T1 – Surgery start (laparoscopic ultrasound) T2 – Open abdominal surgery start T3 – Abdominal preparation out T4 – Abdominal closure | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): 1. Cardiac index (l/min/m2) Stroke volume (ml/min) Systemic vascular resistance (dynes · s · cm-5) Pulse pressure variation (%) Oxygen delivery (ml/min) Mean arterial pressure (mmHg) Heart rate (beats/min) Central venous pressure (mmHg) Inotropics (µg/kg/min) 2. Body weight Fluid balance 3. Fluid related complications;Timepoint(s) of evaluation of this end point: 1. T0 – Baseline, immediately after induction of general anaesthesia. T1 – Surgery start (laparoscopic ultrasound) T2 – Open abdominal surgery start T3 – Abdominal preparation out T4 – Abdominal closure T5 - Surgery end 2. Morning, day of surgery Morning, postoperative day 1, 2, 3 Fluidbalance also after surgery. 3. 30 days postoperative. | — |
Countries
Denmark
Contacts
Odense University Hospital