Multi-center Trial of Goal-directed Fluid Management Based on Pulse Pressure Variation Monitoring
NCT03128190 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 256
Last updated 2017-04-25
Summary
Background: Intraoperative fluid therapy guided by mechanical ventilation-induced pulse-pressure variation (PPV) may improve outcomes after major surgery. It was tested this hypothesis in a multi-center study.
Methods: The patients were included in two periods: a first control period (control group; n=147) in which intraoperative fluids were given according to clinical judgment. After a training period, intraoperative fluid management was titrated to maintain PPV\< 10% in 109 surgical patients (PPV group). It was performed 1:1 propensity score matching to ensure the groups were comparable with regard to age, weight, duration of surgery, and type of operation. The primary endpoint was postoperative hospital length of stay.
Conditions
- Goal-directed Fluid Therapy
- Hemodynamics Instability
- High-risk Surgery
- Pulse-pressure Variation
- Postoperative Complications
Interventions
- OTHER
-
Pulse pressure variation monitoring
fluids boluses of colloids were given to maintain continuously measured PPV at 10% or less
Sponsors & Collaborators
-
University of Sao Paulo
collaborator OTHER -
Hospital Padre Albino of Catanduva Medical School
collaborator UNKNOWN -
Federal University of São Paulo
collaborator OTHER -
Instituto de Assistencia Medica ao Servidor Publico Estadual, Sao Paulo
lead OTHER
Study Design
- Allocation
- NON_RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- Yes
Timeline & Regulatory
- Start
- 2007-06-01
- Primary Completion
- 2010-06-01
- Completion
- 2010-06-30
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