Aortic Aneurysm, Peripheral Arterial Disease
Conditions
Keywords
Cardiac output, Intraoperative Monitoring, Echocardiography, Transesophageal, Vascular cross-clamping, Endarterectomy, Monitoring, Physiologic/instrumentation, Cardiography, Impedance
Brief summary
The Cheetah NICOM is a non-invasive cardiac output monitor that has been validated in various clinical contexts but not during the occlusion of major arteries, as takes place in vascular surgery. The present study will evaluate the precision and validity of the measures taken by the device during open vascular surgery procedures. The measurements will be compared to the those calculated by transesophageal echocardiography at various key points during the surgeries. The validity of the cardiac output, stroke volume and stroke volume variation measurements will be evaluated, as well as the device's ability to track rapid changes in cardiac output.
Interventions
The Cheetah NICOM will be installed on all patients to evaluate the validity of its measurements.
TEE will serve as gold standard measurements for the evaluation of the Cheetah NICOM.
Sponsors
Study design
Eligibility
Inclusion criteria
* Patient undergoing an elective open aortic aneurysm repair surgery or a femoral endarterectomy under general anesthesia. * ASA 1-3
Exclusion criteria
* Refuses general anesthesia * Contraindication to transesophageal echocardiography * Allergy to the glue of the Cheetah NICOM probes * Severe aortic valve regurgitation * Thoracic aorta anatomy anomaly * Unipolar pacemaker
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Validity of Stroke Volume (SV) Measurements by the Cheetah NICOM | Per vascular surgery procedure | The SV measured by the Cheetah NICOM will be compared to the one measured by transesophageal echocardiography at multiple time points during the surgery. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Stroke Volume (SV) with a vascular cross-clamp | Per vascular surgery procedure when a cross-clamp is installed | The SV measured by the Cheetah NICOM will be compared to the one measured by transesophageal echocardiography at multiple points once a vascular cross-clamp is installed. |
| Stroke Volume (SV) trending ability | Per vascular surgery procedure | Between each pair of consecutive data points, the change of SV measurements given by the Cheetah NICOM will be compared to those given by transesophageal echocardiography. |
Countries
Canada