Surgical Procedures, Operative
Conditions
Brief summary
This study evaluates whether using information from a special arterial blood pressure monitor to guide how much fluid is given during surgery changes how long a patient stays in the hospital after the surgery. There is scientific evidence from using similar information from different devices that this technique might allow us to do a better job giving fluids during surgery and that this may be associated with a shorter hospital stay after surgery.
Interventions
Pulse contour waveform analysis derived stroke volume variation will be used to guide intraoperative fluid administration. Additional fluid boluses will be given to the patient when SVV\>12%.
Sponsors
Study design
Eligibility
Inclusion criteria
* Adult patients scheduled for major spine surgery at LLUMC University Hospital will be eligible for participation in this study
Exclusion criteria
* age under 18yr, * coagulopathy, significant renal or hepatic dysfunction (creatinine or liver enzymes \> 50% above normal values), * congestive heart failure, * cardiac arrhythmias producing irregular rhythms, and patient refusal.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Evaluation of the Use of Arterial Pulse Waveform Contour Analysis for Goal Directed Therapy in Patients Undergoing Major Spine Surgery | From end of surgey to approximately 1 week | time in days from the end of surgery to hospital discharge |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Evaluation of the Use of Arterial Pulse Waveform Contour Analysis for Goal Directed Therapy in Patients Undergoing Major Spine Surgery | from the end of surgery to approximately 1 month | The measure of quality of recovery using scoring system; assessed by patient and nursing team |
Countries
United States