Preoperative Goal-directed Fluid Therapy and Physiological Changes Following One-lung Ventilation
NCT03064880 · Status: UNKNOWN · Phase: NA · Type: INTERVENTIONAL · Enrollment: 60
Last updated 2017-03-08
Summary
Intraoperative goal-directed fluid therapy (GDFT) is proposed to improve the outcomes of patients undergoing major surgery. In the GDFT algorithm, the employment of fluid bolus plays a crucial role. Dynamic fluid responsiveness parameters, such as stroke volume (SV) response to fluid infusion, are precise fluid indicators that specifically determine patient volume status and are helpful for clinicians to determine the appropriate time for fluid bolus. In this study, we compared two fluid strategies guided by SV response, namely maximization and nonmaximization protocols, during intraoperative GDFT for patients undergoing thoracic surgery requiring one-lung ventilation. Clinical outcomes and perioperative changes in serum biomarkers of oxidative injury were compared between the two groups as the primary and secondary outcomes respectively.
Conditions
- Therapy Adverse Effect
Interventions
- OTHER
-
SV maximization
Voluven solution 250 mL infusion per 5 minutes up to the platau of Flank-starling law: status to SV change \< 10% and maintained for 20 minutes
Sponsors & Collaborators
-
National Taiwan University Hospital
lead OTHER
Principal Investigators
-
Ya-Jung Cheng, MD, PhD · National Taiwan University Hospital
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- TRIPLE
- Model
- PARALLEL
Eligibility
- Min Age
- 20 Years
- Max Age
- 70 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2017-03-15
- Primary Completion
- 2017-12-31
- Completion
- 2017-12-31
More Related Trials
-
Goal-directed Fluid Therapy in Elderly Patients Undergoing Lumbar Surgery
NCT03974906 ·Status: COMPLETED ·Phase: NA
-
Effects of Intraoperative Fluid Therapy on Acute Kidney Injury After Thoracoscopic Lobectomy
NCT04302467 ·Status: COMPLETED ·Phase: NA
-
Restrictive vs Goal Directed Fluid Therapy During Hepatobiliary Surgery
NCT04092608 ·Status: COMPLETED ·Phase: NA
-
Effect of Tidal Volume Change on Pressure-based Prediction of Fluid Responsiveness in Children
NCT03963089 ·Status: COMPLETED ·Phase: NA
-
The Effect of Intraoperative Goal Directed Restricted Fluid Therapy on Extravascular Lung Water
NCT02845310 ·Status: COMPLETED ·Phase: NA
-
Traditional Versus Goal Directed Perioperative Fluid Therapy in High Risk Patients
NCT01473446 ·Status: TERMINATED ·Phase: NA
-
Effect of Goal-directed Fluid Therapy Using Stroke Volume Variation in Patients Undergoing Free Flap Reconstruction After Head and Neck Cancer Resection
NCT02003066 ·Status: COMPLETED ·Phase: NA
-
The Stroke Volume Optimization of Goal Directed Fluid Therapy During Radical Cystectomy
NCT03262480 ·Status: COMPLETED ·Phase: NA
-
Goal-Directed Fluid Therapy in Patients Undergoing Lower Limb Surgeries
NCT06133257 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Restrictive- vs Individualized Goal Directed Fluid Therapy in Liver Surgery
NCT05704387 ·Status: COMPLETED ·Phase: NA
-
Risk Stratification and Goal-directed Volume Therapy
NCT01456702 ·Status: UNKNOWN ·Phase: NA
-
Intraoperative Hypovolemia and Fluid Therapy
NCT00852449 ·Status: TERMINATED ·Phase: PHASE4
-
Goal-Directed Fluid Therapy for Patients Undergoing Oro-Maxillofacial Surgery
NCT03086694 ·Status: COMPLETED
-
Hemodynamic Response During Goal Directed Fluid Therapy in the OR
NCT02365688 ·Status: TERMINATED ·Phase: NA
-
Goal-directed Therapy in High-risk Surgery
NCT01681238 ·Status: UNKNOWN ·Phase: NA
-
Multi-center Trial of Goal-directed Fluid Management Based on Pulse Pressure Variation Monitoring
NCT03128190 ·Status: COMPLETED ·Phase: NA
-
Stroke Volume Variation-guided Fluid Infusion in Major Liver Tumour Resection
NCT05361252 ·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 and Liberal Fluid Therapy
NCT05487222 ·Status: COMPLETED
-
GDFT Based on PPV Compared With Standard Fluid Therapy in Patients Undergoing Complex Spine Surgery: RCT
NCT03164811 ·Status: COMPLETED ·Phase: NA
-
Goal Directed Therapy Aiming to Optimise Oxygen Central Venous Saturation in Children Undergoing Cardiac Surgery
NCT03469440 ·Status: RECRUITING ·Phase: NA
-
Study About Predicting Fluid Responsiveness in Children Undergoing Neurosurgery
NCT01364103 ·Status: COMPLETED ·Phase: NA
-
Evaluation of Goal-Directed Intraoperative Hemodynamic Optimization Protocol
NCT02057653 ·Status: COMPLETED
-
Goal Directed Fluid Therapy in Free Flap Patients
NCT00869297 ·Status: COMPLETED ·Phase: NA
-
Evaluating Fluid Strategies in Thoracic Surgery Patients Utilizing a Goal Directed Approach
NCT02135146 ·Status: COMPLETED ·Phase: PHASE4