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Tracking fluid challenges during surgery

Tracking fluid challenges non-invasively with thoracic impedance cardiography derived CO and pleth variability index

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
NL-OMON
Registry ID
NL-OMON26946
Enrollment
50
Registered
2018-02-19
Start date
2018-04-01
Completion date
Unknown
Last updated
2024-02-28

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

Conditions

Anesthesiology

Interventions

After induction of anaesthesia and once a steady state haemodynamic phase has been reached before incision, all patients will be administered 5ml kg-1 crystalloids i.v. in 5-10 minutes. The haemodynam

Sponsors

University Medical Center Groningen
Lead Sponsor

Eligibility

Inclusion criteria

Inclusion criteria: • Patients scheduled for elective non-cardiac surgery requiring invasive arterial blood pressure monitoring. • Patients older than 18. • ASA physical status I-III. • Informed and willing to give written informed consent.

Exclusion criteria

Exclusion criteria: • Patients who refuse to participate. • Patients unable to consent (i.e. severe mental disorder, younger than 18). • Patients with pacemakers. • Patients with severe cardiac pathologies or hemodynamically unstable. • Patients with end-stage renal failure.

Design outcomes

Primary

MeasureTime frame
The main study endpoint is the agreement of COqCO with reference CO in terms of bias, precision and trending ability. The change in RPVI will be assessed with respect to changes in SVV, to evaluate the ability of RPVI to track fluid-induced changes in preload dependency.

Secondary

MeasureTime frame
- Analysis of the variability of qCO derived CO during the different hypnotic conditions of the patient (awake, anaesthetic induction phase, steady state general anaesthesia). - Comparison of the prediction of fluid responsiveness by RPVI with both FloTrac/EV1000-derived SVV and traditional PVI. - Ability of RPVI to predict fluid responsiveness, defined as an increase in CO > 15%, and comparing it with the ability of SVV to predict fluid responsiveness.

Contacts

Public ContactR. Spanjersberg

Hanzeplein 1

r.spanjersberg@umcg.nl+31 (0)50 3611158

Outcome results

None listed

Source: NL-OMON (via WHO ICTRP)