The Relationship Between Cardiac Output and Microvascular Visceral Blood Flow
NCT02167178 · Status: COMPLETED · Type: OBSERVATIONAL · Enrollment: 24
Last updated 2015-01-27
Summary
Although major surgery is often required to treat abdominal problems, there is a significant risk of death or complication following these operations. By using ultrasound the amount and timing of fluid patients receive during operations can be optimised and the risk of surgery reduced. However, little is known about the exact changes in blood flow in the small vessels of the body in response to fluid. A greater understanding of this may allow for more appropriate care of patients undergoing this type of surgery in the future.
In this study of healthy volunteers we will attempt to better understand how fluid administration guided by ultrasound effects blood flow in large and small vessels, by using two different techniques of ultrasound imaging. A narrow bore (approximately 4-5mm diameter) ultrasound probe will be passed through the nostril and mouth to rest within the oesophagus allowing measurement of blood flow in the main artery, while a second probe will be rested on the volunteer's abdomen and used to record changes in blood flow in small liver blood vessels. Comparison of these two techniques during the administration of fluid will allow us to better understand the relationship between large and small vessel blood flow.
Because different types of fluid may behave in different ways, we will test the effect of two types of fluid commonly used in clinical practice; 'normal' saline solution and gelofusine.
Conditions
- Healthy Volunteers
Interventions
- OTHER
-
Administration of 0.9% NaCl solution
Volunteers administered 0.9% NaCl solution in 250ml boluses
- OTHER
-
Measurement of stroke volume
The measurement of stroke volume will be performed using an Oesophageal Doppler Monitor.
- OTHER
-
Measurement of microvascular blood flow
Microvascular blood flow will be measured using a contrast enhanced ultrasound scan.
- OTHER
-
Administration of gelofusine
Volunteers administered gelofusine in 250ml boluses
Sponsors & Collaborators
-
University of Nottingham
lead OTHER
Principal Investigators
-
John P Williams, PhD · University of Nottingham
Eligibility
- Min Age
- 18 Years
- Max Age
- 80 Years
- Sex
- MALE
- Healthy Volunteers
- Yes
Timeline & Regulatory
- Start
- 2013-01-31
- Primary Completion
- 2014-03-31
- Completion
- 2014-08-31
Countries
- United Kingdom
Study Locations
More Related Trials
-
End-tidal Carbon Dioxide as a Non-invasive Predictor for Changes in Cardiac Output in Non-cardiac Surgery
NCT06962748 ·Status: COMPLETED ·Phase: NA
-
Ultrasonic Measurement of IVC and IJV in Predicting Hypotension After Anesthesia Induction
NCT04379141 ·Status: UNKNOWN
-
Respiratory Variation of Carotid Doppler Peak Velocity (CDPV) for Non-invasive Prediction of Fluid Responsiveness
NCT05185141 ·Status: RECRUITING
-
Hemodynamic Indices Predictive of a Beneficial Response to Fluid Expansion in Case of Hemodynamic Failure After Cardiac Surgery With Altered Preoperative Ejection Fraction (LVEF≤45%)
NCT01673230 ·Status: COMPLETED ·Phase: NA
-
Monitoring of Cerebral Blood Flow Autoregulation Using Near Infrared Spectroscopy
NCT00769691 ·Status: COMPLETED
-
Central Venous Pressure Monitoring and Prognosis of High-risk Operating Patients
NCT04596332 ·Status: COMPLETED
-
Microvascular Reactivity in Cardiac Surgery
NCT04759222 ·Status: COMPLETED
-
Microcirculation Evolution in Patients After Cardiac Surgery
NCT04461743 ·Status: UNKNOWN
-
Effect of Intraoperative Volume Optimization on Outcome After Intrabdominal Surgery
NCT00766519 ·Status: COMPLETED ·Phase: PHASE4
-
Diagnostic Value of Passive Leg Raise Induced Changes in Carotid Artery Flow Time to Predict Fluid Responsiveness in Critically Ill Patients
NCT02789124 ·Status: COMPLETED ·Phase: NA
-
Parameters of Cerebral Perfusion
NCT02806492 ·Status: COMPLETED ·Phase: NA
-
Non-invasive Prediction of Fluid and Noradrenaline Responsiveness Using the Carotid Wave Intensity.
NCT06197321 ·Status: COMPLETED
-
Descending Aorta Blood Flow to Guide Fluid Therapy During Surgery
NCT05227729 ·Status: COMPLETED
-
Circulatory Oscillations in Post Cardiac Surgery Patients
NCT02765607 ·Status: COMPLETED
-
Decreasing Postoperative Complications by Goal-Directed Fluid Therapy During Esophageal Resection
NCT01416077 ·Status: COMPLETED ·Phase: PHASE4
-
Blood Volume and Fluid Kinetics in Patients Undergoing Extracorporal Circulation
NCT01115166 ·Status: COMPLETED
-
Spectral Analysis of Central Venous Pressure Waveform
NCT04733547 ·Status: COMPLETED
-
Non-invasive Assessment of Arterial Blood Pressure and Functional Hemodynamic Parameters
NCT01292759 ·Status: UNKNOWN
-
Intraoperative Fluid Management Guided by Internal Jugular Vein on Postoperative Complications in Abdominal Surgeries
NCT07041021 ·Status: RECRUITING ·Phase: NA
-
Measurement of Cerebral Flow Using Transfontanellar Doppler in Infants Under Cardiopulmonary Bypass
NCT01996020 ·Status: COMPLETED
-
Perioperative Fluid Management in Morbidly Obese Patients
NCT01873183 ·Status: COMPLETED ·Phase: NA
-
Fluid Responsiveness Through the Corrected Carotid Flow Time, Before and After Sternotomy
NCT06967142 ·Status: COMPLETED
-
Comparison of Monitors of Fluid Therapy
NCT00286338 ·Status: COMPLETED
-
Fluid Responsiveness: SVV vs esSVV in Mechanically Ventilated and Spontaneously Breathing Patients
NCT04786652 ·Status: COMPLETED ·Phase: NA
-
Use of Point-of-care Ultrasound in High Risk Surgical Patients
NCT03123536 ·Status: UNKNOWN