hepatic blood flow hepatic vascular pressures
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: • Adult = 18 years = 80 years (female or male) • ASA I – II – III • Able to comprehend, sign and date the written informed consent document to participate in the clinical trial. • Scheduled for pancreatic surgery. 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 10 F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range 18
Exclusion criteria
Exclusion criteria: • Allergy to the medication. • Renal insufficiency (SCr > 2 mg/dL). • Severe heart failure (EF 40. • Severe coagulopathy (INR > 2). • Thrombocytopenia (< 80 x 103 /mcL). • End stage liver disease. • Pregnancy and breastfeeding women
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: To assess the effect of norepinephrine infusion (NOR) on hepatic blood flow and hepatic vascular pressures during goal-directed hemodynamic therapy.;Secondary Objective: To evaluate the effects of NOR on systemic vascular resistance (SVR), portal venous resistance (PVR), cardiac index (CI), blood loss and total fluid administration.;Primary end point(s): Evaluation of the effect of NOR on hepatic blood flow and pressures during goal-directed hemodynamic therapy.;Timepoint(s) of evaluation of this end point: • T1 – after pancreatectomy at baseline MAP • T2 – after pancreatectomy, after reaching target MAP 10 – 20% above baseline (T1). • T3 – before surgical reconstruction and after reaching target MAP 20 – 30% above baseline (T1). | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): Evaluation of the effect of NOR on systemic vascular resistance (SVR), portal venous resistance (PVR), CI, blood loss en fluid administration.;Timepoint(s) of evaluation of this end point: • T0 – after incision and opening of the abdominal cavity. • T1 – after pancreatectomy at baseline MAP • T2 – after pancreatectomy, after reaching target MAP 10 – 20% above baseline (T1). • T3 – before surgical reconstruction and after reaching target MAP 20 – 30% above baseline (T1). • T4 – before closure of the abdominal cavity. | — |
Countries
Belgium
Contacts
Ghent University Hospital