Assisted Fluid Management vs Manual GDFT
NCT03141411 · Status: COMPLETED · Type: OBSERVATIONAL · Enrollment: 46
Last updated 2017-08-28
Summary
Goal-directed fluid therapy (GDFT) strategies based on cardiac output (CO) optimization have been shown to benefit moderate- to high-risk surgery patients and have recently been recommended by professional societies in the UK, in France, and in Europe. However, despite the growing evidence, these strategies are often not implemented in current practice. One of the reasons for this lack of implementation is that GDFT strategies, like any other complex clinical protocol, require significant provider attention and vigilance for consistent implementation and it is well known that even under study conditions protocol compliance rates are often not greater than 50%. To overpass this problem, our CO monitoring devices (EV1000, Edwards Lifesciences) have now an incorporated assisted fluid management software. This software determines fluid responsiveness by estimating the predicted change in stroke volume and suggests to the anesthesiologist when fluid is required .
Conditions
- Surgery
Sponsors & Collaborators
-
Erasme University Hospital
lead OTHER
Principal Investigators
-
Alexandre Joosten, M.D · Erasme
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2017-05-10
- Primary Completion
- 2017-08-24
- Completion
- 2017-08-24
Countries
- Belgium
Study Locations
More Related Trials
-
Goal-directed Intraoperative Fluid Therapy in High-risk Surgery
NCT02470221 ·Status: COMPLETED
-
Fluid Optimisation in Laparoscopic Colorectal Procedures
NCT04719884 ·Status: COMPLETED ·Phase: NA
-
The Effect of Perioperative Cardiac Output-guided GDT on Oxygen Delivery, Consumption, and Microcirculatory Perfusion
NCT05090254 ·Status: COMPLETED ·Phase: NA
-
Implementation of a GDT Algorithm for Major Surgery Patients
NCT02509910 ·Status: COMPLETED
-
Intraoperative Haemodynamic Optimization Comparing Flow and Pressure Parameters
NCT02104687 ·Status: COMPLETED ·Phase: NA
-
Effects of Intraoperative Goal-Directed Fluid Therapy on the Incidence of Postoperative Complications
NCT02507557 ·Status: UNKNOWN
-
Three Different GHDT ( Goal Hemodynamic Directed Therapy) Strategies for Intraoperative Fluid Management Optimization During Major Abdominal Surgery: A Randomized Controlled Trial
NCT06871150 ·Status: RECRUITING ·Phase: NA
-
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
-
Effects of GDHT (Goal Directed Hemodynamic Therapy) Using a Non-invasive Hemodynamic Monitoring in Elective Neurosurgery
NCT07101991 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Goal Directed Hemodynamic Management of Acute Heart Failure After Cardiac Surgery in Children
NCT02617602 ·Status: UNKNOWN ·Phase: PHASE3
-
Risk Stratification and Goal-directed Volume Therapy
NCT01456702 ·Status: UNKNOWN ·Phase: NA
-
Personalized Hemodynamic Therapy in Patients Undergoing High-risk Surgery
NCT02834377 ·Status: COMPLETED ·Phase: NA
-
Perioperative Hemodynamic Optimization Using the NICOM Device
NCT01217151 ·Status: COMPLETED ·Phase: NA
-
Goal-Directed Therapy Following Cardiac Surgery
NCT05964374 ·Status: COMPLETED ·Phase: NA
-
Impact of GDT in Robot-assisted Laparoscopic Urological Surgery for Low to Moderate Risk Patients
NCT03213574 ·Status: WITHDRAWN ·Phase: NA
-
Goal-Directed Fluid Therapy in Patients Undergoing Lower Limb Surgeries
NCT06133257 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Comparison of Goal-directed and Liberal Fluid Management
NCT04265014 ·Status: WITHDRAWN ·Phase: NA
-
Hemodynamic Response During Goal Directed Fluid Therapy in the OR
NCT02365688 ·Status: TERMINATED ·Phase: NA
-
Evaluation of an Active Decision Support System for Hemodynamic Optimization During High Risk Vascular Surgery
NCT03012919 ·Status: COMPLETED ·Phase: NA
-
The Effect of Intraoperative Goal Directed Restricted Fluid Therapy on Extravascular Lung Water
NCT02845310 ·Status: COMPLETED ·Phase: NA
-
Decreasing Postoperative Complications by Goal-Directed Fluid Therapy During Esophageal Resection
NCT01416077 ·Status: COMPLETED ·Phase: PHASE4
-
Goal Directed and Liberal Fluid Therapy
NCT05487222 ·Status: COMPLETED
-
Arterial Pressure Based Cardiac Output for Goal-Directed Therapy in Abdominal Surgery
NCT00549419 ·Status: COMPLETED ·Phase: PHASE4
-
Perioperative Goal Directed Therapy in Kidney Transplantation
NCT03776396 ·Status: COMPLETED
-
Effects of a Goal-directed Hemodynamic Therapy Driven by ECOM on Morbidity and Mortality After Cardiac Surgery?
NCT01535716 ·Status: COMPLETED ·Phase: PHASE4