An Algorithm for Intra-operative Goal-directed Haemodynamic Management in Non-cardiac Surgery

An Algorithm for Intra-operative Goal-directed Haemodynamic Management in Non-cardiac Surgery - a Feasibility Study

Status

Completed

Phases

Unknown

Study type

Observational

Source

ClinicalTrials.gov

Registry ID

NCT01384097

Acronym

ERAS_feasi

Enrollment

774

Registered

2011-06-28

Start date

2007-09-30

Completion date

2011-06-30

Last updated

2011-09-08

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

Conditions

Colonic Tumor, Fracture of Surgical Neck of Humerus, Neoplasm of Head of Pancreas, Stage IIIB Ovarian Carcinoma

Keywords

haemodynamic, goal-directed therapy, surgery, anaesthesia

Brief summary

A systematic literature search a goal-directed haemodynamic algorithm was created. The hypothesis of this study was that the goal-directed haemodynamic algorithm is feasible and can improve clinical outcome.

Detailed description

After a systematic literature search a goal-directed haemodynamic algorithm was created. The algorithm was adapted to international standards and consensus was reached through a modified Delphi method at international meetings. The feasibility of using the algorithm for intraoperative haemodynamic management was tested and the resultant clinical data analyzed retrospectively for several types of surgery with the hypothesis that the goal-directed haemodynamic algorithm is feasible in the clinical setting and can improve clinical outcome.

Interventions

None listed

Study design

Observational model

COHORT

Time perspective

RETROSPECTIVE

Eligibility

Sex/Gender

ALL

Age

18 Years to No maximum

Healthy volunteers

Inclusion criteria

* Patients undergoing a surgical repair of hip fractures, open right hemicolectomy and extended hemicolectomy, radical tumor debulking in primary ovarian cancer or a pylorus-preserving pancreatic head resection at the Charité - University Medicine Berlin, Campus Virchow Clinic * 18 years and older

Exclusion criteria

* emergency procedures

Design outcomes

Primary

Measure	Time frame	Description
hospital length of stay	a period of 60 days	The perioperative hospital length of stay is assessed.

Secondary

Measure	Time frame	Description
need for ventilator therapy	a period of 60 days	The perioperative need for ventilator therapy is assessed.
monetary reimbursement for prolonged hospital stay	a period of 60 days	The monetary reimbursement for prolonged hospital stay is assessed to evaluate the impact on financial consequences.

Countries

Germany

Outcome results