Effect of Goal-directed Crystalloid Versus Colloid Administration on Major Postoperative Morbidity
NCT01195883 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 1102
Last updated 2018-10-30
Summary
A trial in which patients having open abdominal surgery are randomized to receive either crystalloids or colloids intraoperatively, guided by esophageal Doppler. The investigators test the primary hypothesis that goal-directed colloid administration during elective abdominal surgery decreases a composite of postoperative complications within 30 days of surgery.
Conditions
- Postoperative Complications
Interventions
- DRUG
-
Crystalloid
For goal directed volume management we use corrected aortic flow time (FTc) and stroke volume derived from esophageal Doppler as in previous studies. In case of hypovolemia, detected by esophageal Doppler monitoring (CardioQ, Deltex Medical Group PLC, Chichester, UK) according to a previously published algorithm, an additional fluid bolus of 250 ml of LR will be given over a period of 5 minutes.
- DRUG
-
Colloid
For goal directed volume management we use corrected aortic flow time (FTc) and stroke volume derived from esophageal Doppler as in previous studies. In case of hypovolemia, detected by esophageal Doppler monitoring (CardioQ, Deltex Medical Group PLC, Chichester, UK) according to a previously published algorithm, an additional fluid bolus of 250 ml of Hydroxyethylstarch 6% 130/0.4 (Voluven®Fresenius-Kabi, Bad Homburg, Germany) will be given over a period of 5 minutes.
Sponsors & Collaborators
-
The Cleveland Clinic
lead OTHER
Principal Investigators
-
Andrea Kurz, MD · The Cleveland Clinic
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- TRIPLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Max Age
- 80 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2010-11-30
- Primary Completion
- 2016-11-30
- Completion
- 2017-10-20
Countries
- United States
- Austria
Study Locations
More Related Trials
-
Fluid Management in Patients Undergoing Cardiac Surgery
NCT02895659 ·Status: COMPLETED ·Phase: PHASE4
-
Impact of Fluid Management Within a Goal-directed Hemodynamic Protocol on Acid-base Balance in Elective Trauma Surgery
NCT01117519 ·Status: COMPLETED ·Phase: PHASE4
-
Endothelial Function After Cardiac Surgery
NCT02882074 ·Status: COMPLETED ·Phase: NA
-
The Effectiveness of Mini-fluid Challenge in Predicting Fluid Responsiveness During Video Assisted Thoracic Surgery
NCT03731377 ·Status: UNKNOWN ·Phase: NA
-
Crystalloid Versus Hydroxyethyl Starch Trials
NCT00935168 ·Status: COMPLETED ·Phase: PHASE3
-
Fluid Optimization With Crystalloids and Colloids in Neurosurgery
NCT03249298 ·Status: COMPLETED ·Phase: NA
-
Intra-Abdominal Sepsis and Relationship Between Cumulative Fluid Balance and Serum Sodium and Chloride Levels and In-Hospital Mortality
NCT06838585 ·Status: COMPLETED
-
Safety and Efficacy of Perioperative Volume Replacement with Volulyte 6% in Moderate-to-high Cardiovascular Risk Patients Having Major Abdominal Surgery
NCT06663254 ·Status: NOT_YET_RECRUITING ·Phase: PHASE4
-
Crystalloid Fluid Choice and Neurological Outcome in Patients After Subarachnoid Haemorrhage
NCT04043598 ·Status: RECRUITING ·Phase: NA
-
Application of Sodium Bicarbonate Ringer's Solution in Laparoscopic Hepatectomy
NCT05830136 ·Status: RECRUITING ·Phase: NA
-
Fluid Loading in Abdominal Surgery: Saline Versus Hydroxyethyl Starch (FLASH Study)
NCT02502773 ·Status: COMPLETED ·Phase: PHASE3
-
Gelaspan vs Crystalloid Therapy in Sepsis
NCT07172451 ·Status: RECRUITING ·Phase: PHASE4
-
Goal Directed Fluid Therapy
NCT00860704 ·Status: COMPLETED ·Phase: PHASE4
-
Stroke Volume Variation vs Central Venous Pressure Guidance Fluid Management in Endovascular Aortic Repair
NCT03218540 ·Status: COMPLETED ·Phase: NA
-
Effect of Human Plasma Protein Transfusion With and Without Crystalloids During Major Liver Resection Surgeries
NCT05033704 ·Status: UNKNOWN ·Phase: NA
-
Effect of Colloids Versus Crystalloids on Heart Mechanics: a Double-blind Cross Over Randomized Trial
NCT06900972 ·Status: ENROLLING_BY_INVITATION ·Phase: PHASE3
-
Sodium Management in Acute Neurological Injury
NCT01558843 ·Status: COMPLETED
-
Hemostasis Evolution During Fluid Loading in Abdominal Surgery. Effects of Fluid Choice: Saline Versus Hydroxyethyl Starch (HAEMO Study)
NCT03420261 ·Status: COMPLETED ·Phase: PHASE4
-
Perioperative Fluid Management in Patients Receiving Cadaveric Renal Transplants
NCT01075750 ·Status: COMPLETED
-
Hemodynamic Response to the End-expiratory Occlusion Test to Titrate Fluid Challenge in Operating Room.
NCT06627907 ·Status: NOT_YET_RECRUITING
-
A Comparison of Crystalloid Alone Versus Crystalloid Plus Colloid in Shock Resuscitation
NCT02782819 ·Status: UNKNOWN ·Phase: NA
-
Minimal Volume for Fluid Challenge in Post-operative Patients
NCT02569008 ·Status: COMPLETED ·Phase: NA
-
Double Blind Randomized Trial of Saline vs Pentaspan for Resuscitation After Cardiac Surgery
NCT00337805 ·Status: COMPLETED ·Phase: PHASE2/PHASE3
-
Evaluation of Lipid Emulsion on GCX in Critically Ill Patients
NCT03216850 ·Status: COMPLETED
-
Metabolomics of Intraoperative Saline and Balanced Crystalloid Infusion
NCT04137042 ·Status: COMPLETED ·Phase: NA