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Comparison of outcomes of goal-directed fluid optimisation guided by LiDCOrapid and conventional oesophageal Doppler

Comparison of goal-directed fluid optimisation guided by LiDCOrapid and conventional oesophageal Doppler ? effect on intra-operative oxygen delivery index and post-operative outcomes: a randomised control non-inferiority study

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
ISRCTN
Registry ID
ISRCTN50251697
Enrollment
336
Registered
2012-09-14
Start date
2011-05-24
Completion date
Unknown
Last updated
2018-03-26

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Improving perioperative care for elective colorectal surgery Surgery

Interventions

Anaesthetist randomised to use either: 1. LiDCOrapid in intervention group OR 2. Conventional oesophageal Doppler cardiac output monitoring in control arm to guide goal-directed fluid therapy Both m

Sponsors

Guy's & St. Thomas' NHS Foundation Trust (UK)
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: 1. Elective or semi-elective patients due to undergo colorectal surgery as part of Enhanced Recovery Protocol 2. Successful simultaneous LiDCOrapid and oesophageal Doppler monitoring throughout surgery

Exclusion criteria

Exclusion criteria: 1. Emergency surgery 2. Lack of capacity to consent 3. Pregnancy 4. All excluded patients from patient groups to be reported in results 5. Contraindications to oesophageal Doppler probe 5.1. nasal injuries or polyps 5.2. severe oesophageal/laryngeal/pharyngeal disease 5.3. recent oesophageal/laryngeal/pharyngeal surgery 5.4. thoracic aortic aneurysm 5.5. severe bleeding diathesis 5.6. long-term systemic steroid therapy 5.7. portal hypertension 6. Contraindications to arterial line or LiDCOrapid 6.1. weight <40kg 6.2. aortic valve regurgitation

Design outcomes

Primary

MeasureTime frame
Post-operative length of stay (in days)

Secondary

MeasureTime frame
1. Intra-operative oxygen delivery index values 2. Intra-operative intravenous fluid volumes 3. Intra-operative differences in % change stroke volume 4. Morbidity 5. Functional recovery (mobility and return of gastrointestinal function) 6. In-hospital and 30-day mortality

Countries

United Kingdom

Outcome results

None listed

Source: ISRCTN (via WHO ICTRP) · Data processed: Feb 4, 2026