General Anaesthesia
Conditions
Brief summary
Noninvasive pulse pressure variation for the guidance of perioperative fluid therapy is compared with the gold standard of invasive measurements. Cardiac output is derived by the PICCO monitor. Hypothesis: Noninvasive CNAP PPV predicts fluid responsiveness. A grey zone for the prediction of fluid responsiveness will be defined.
Detailed description
Accuracy of PPV measured by two devices,PICCO and CNAP, is compared with the manually calculated PPV from the arterial line waveform. Established tests like passive leg raising and end-expiratory occlusion are used for prediction of fluid responsiveness. Intraoperative events like volume challenge are monitored.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* major surgery * need for invasive arterial measurements
Exclusion criteria
* age under 18 * cardiac dysrhythmia * vascular pathology at punction site
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Cardiac output | 1, 2, 5, 10, 15 and 20 minutes after volume challange and | Improvement of cardiac output dependent on PPV before volume challenge |
Countries
Germany