Goal Directed Therapy for Patients Undergoing Major Vascular Surgery
NCT01681251 · Status: COMPLETED · Phase: PHASE1 · Type: INTERVENTIONAL · Enrollment: 40
Last updated 2013-11-11
Summary
The management and delivery of intravenous fluids during surgical operations is one of the important duties for anesthesiologists.
The goal of this study was to determine if goal directed fluid therapy, titrated using the FloTrac monitor's measurement of stroke volume variation results in a decrease in the length of stay of patients undergoing open abdominal aneurysm repair.
Conditions
- Abdominal Aortic Aneurysm Uncomplicated
Interventions
- OTHER
-
Fluid titrated with the use of arterial pulse contour cardiac output monitor if SVV >13%
Following induction of anesthesia, Voluven boluses of 250ml will be given if SVV increases above 10%. Further Voluven boluses will be given in 250ml aliquots should the SVV increase to greater than 10%. If a total of 55ml/kg of Voluven is given, the fluid will be changed to lactated ringers and no further colloid will be given, as this is the maximum dose recommend by the manufacturer. Vasoactive agents (type and dose at the discretion of the attending anesthesiologist) may be given to maintain a mean arterial pressure that the clinical team feels adequate to maintain adequate organ perfusion. In the intervention group, however, vasoactive agents will not be given unless fluid administration has resulted in a maximal value of SV.
- OTHER
-
Fluid titrated at the discretion of the attending anesthesiologist
In the control group, the data from the FloTrac monitor will not be available to the anesthesia care provider. Fluid replacement will be at a rate and of a type that is entirely up to the anesthesiologist; the only stipulation being that Voluven is to be used should the provider desire to use a colloid solution.
Sponsors & Collaborators
-
University of Manitoba
lead OTHER
Principal Investigators
-
Duane J Funk, MD · University of Manitoba
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- TRIPLE
- Model
- SINGLE_GROUP
Eligibility
- Min Age
- 18 Years
- Max Age
- 85 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2010-08-31
- Primary Completion
- 2013-06-30
- Completion
- 2013-10-31
Countries
- Canada
Study Locations
More Related Trials
-
Goal Directed Fluid Therapy Guided Fluid Management in Pneumoresection
NCT03237351 ·Status: COMPLETED ·Phase: NA
-
The Effect of Perioperative Cardiac Output-guided GDT on Oxygen Delivery, Consumption, and Microcirculatory Perfusion
NCT05090254 ·Status: COMPLETED ·Phase: NA
-
Goal-directed Fluid Therapy During Deep Inferior Epigastric Perforator (DIEP) Free Flap Breast Reconstruction
NCT06080178 ·Status: RECRUITING ·Phase: PHASE4
-
Arterial Pulse Waveform Contour Analysis for Intraoperative Goal Directed Therapy in Major Abdominal Surgery
NCT01082614 ·Status: COMPLETED ·Phase: NA
-
Implementation of Computer-Assisted Intraoperative Goal-Directed Fluid Therapy
NCT02978430 ·Status: COMPLETED ·Phase: PHASE2
-
Restrictive vs Goal Directed Fluid Therapy During Hepatobiliary Surgery
NCT04092608 ·Status: COMPLETED ·Phase: NA
-
Stroke Volume Variation-guided Fluid Infusion in Major Liver Tumour Resection
NCT05361252 ·Status: COMPLETED ·Phase: NA
-
Implementation of a GDT Algorithm for Major Surgery Patients
NCT02509910 ·Status: COMPLETED
-
Goal-Directed Fluid Therapy in Patients Undergoing Lower Limb Surgeries
NCT06133257 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
The Effect of Intraoperative Goal Directed Restricted Fluid Therapy on Extravascular Lung Water
NCT02845310 ·Status: COMPLETED ·Phase: NA
-
Effects of GDHT (Goal Directed Hemodynamic Therapy) Using a Non-invasive Hemodynamic Monitoring in Elective Neurosurgery
NCT07101991 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
The Hypotension Prediction Index in Major Abdominal Surgery
NCT06247384 ·Status: RECRUITING ·Phase: NA
-
Intraoperative Haemodynamic Optimization Comparing Flow and Pressure Parameters
NCT02104687 ·Status: COMPLETED ·Phase: NA
-
Traditional Versus ScvO2 Guided Perioperative Fluid Therapy
NCT00468793 ·Status: COMPLETED ·Phase: PHASE4
-
Goal-Directed Fluid Therapy for Patients Undergoing Oro-Maxillofacial Surgery
NCT03086694 ·Status: COMPLETED
-
Personalized Hemodynamic Therapy in Patients Undergoing High-risk Surgery
NCT02834377 ·Status: COMPLETED ·Phase: NA
-
Perioperative Goal Directed Therapy (PGDT) in Spinal Surgery in the Prone Position
NCT04025086 ·Status: COMPLETED
-
Effectiveness of Goal-Directed Fluid Therapy Guided by Cardiac Index Versus Central Venous Pressure in Major Abdominal Surgery Patients in the ICU.
NCT07303855 ·Status: RECRUITING ·Phase: NA
-
Goal-directed Fluid Therapy in Elderly Patients Undergoing Lumbar Surgery
NCT03974906 ·Status: COMPLETED ·Phase: NA
-
Study of Stroke Volume Variation and Pleth Variability Index as Predictors of Fluid Responsiveness
NCT02122367 ·Status: UNKNOWN ·Phase: PHASE4
-
Non Invasive Methods to Guide Volume Optimization
NCT01458678 ·Status: COMPLETED ·Phase: NA
-
The Stroke Volume Optimization of Goal Directed Fluid Therapy During Radical Cystectomy
NCT03262480 ·Status: COMPLETED ·Phase: NA
-
Cardiac Output and Duplex Sonography in Carotid Endarterectomy
NCT02230358 ·Status: COMPLETED ·Phase: NA
-
Fluid Challenges and Microcirculation
NCT04559178 ·Status: TERMINATED
-
Multi-center Trial of Goal-directed Fluid Management Based on Pulse Pressure Variation Monitoring
NCT03128190 ·Status: COMPLETED ·Phase: NA