Cardiac and Pulmonary Complications. Central Venous Line Insertion. Gastrointestinal Recovery
Conditions
Brief summary
This is a prospective randomized controlled trial looking at the utility of intraoperative transesophageal echocardiography (TEE) on clinical outcomes after radical cystectomy. Patients in the control group will have standard of care, patients in the TEE group will have standard of care and TEE monitoring throughout. Intraoperative and postoperative variables, such time to extubation, postoperative cardiac and pulmonary complications, intraoperative fluid and vasopressor use will be assessed.
Interventions
OTHERTransesophageal echocardiography
Sponsors
University of Chicago
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Adult patients have elective radical cystectomy at The University of Chicago Hospital.
Exclusion criteria
* Patient refusal, emergent surgery, preoperative mechanical ventilation, preoperative hemodynamic instability (intravenous vasopressor support), and/or esophageal/gastric pathology contraindicating insertion of the transesophageal echocardiography probe.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Incidence of intraoperative central venous line insertion | 1 day after study enrollment |
| postoperative return of bowel function via flatus or passage of stool | 5 days after study enrollment |
Secondary
| Measure | Time frame |
|---|---|
| Decreased postoperative pulmonary and cardiac complications | approximately 5-7 days |
Outcome results
None listed