Perioperative Fluid Management: Goal-directed Versus Restrictive Strategy
NCT02625701 · Status: COMPLETED · Phase: PHASE3 · Type: INTERVENTIONAL · Enrollment: 400
Last updated 2019-09-12
Summary
There is no ideal "cookbook recipe" for fluid prescription that would fit every surgical patient.
In this study, the investigators working hypothesis is that the adoption of an integrative algorithm for perioperative fluid and haemodynamic management would improve clinical outcome and reduce hospital resource utilization in noncardiac surgical procedures (major-to-intermediate level of stress.
Two intraoperative fluid strategies will be compared: "Restrictive" vs. "goal-directed therapy (GDT)". In the GDT group, haemodynamic information will be obtained by a flow monitoring device coupled with standard heart rate and blood pressure monitoring.
Conditions
- Complication, Postoperative
Interventions
- PROCEDURE
-
Goal-directed therapy
Optimize CO with additional fluid according to dynamic indices (PPV, SVV, Stroke volume)
- PROCEDURE
-
Restrictive fluid therapy
Keep normovolemia with basal crystalloids infusion (3-6 ml/kg/h) and compensate additional fluid losses with colloids or crystalloids.
Sponsors & Collaborators
-
University Hospital, Geneva
lead OTHER
Principal Investigators
-
Marc Licker, MD · University Hospital, Geneva
Study Design
- Allocation
- RANDOMIZED
- Purpose
- PREVENTION
- Masking
- SINGLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2012-01-31
- Primary Completion
- 2019-09-30
- Completion
- 2019-09-30
Countries
- Switzerland
Study Locations
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