Artificial Intelligence - to Predict and Prevent Hypotension During Surgery
NCT06240234 · Status: NOT_YET_RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 300
Last updated 2024-02-02
Summary
The goal of this medtech clinical trial is to develop and evaluate a machine learning algoritm to predict low blood pressure episodes during major surgery. The main questions it aims to answer are:
* Could a novel method for cardiac output estimation through alterations in carbon dioxide improve the performance of a blood pressure based algoritm in order to predict low blood pressure episodes during major abdominal surgery?
* Will the predictive performance of the algoritm improve with the addition of other patient specific data?
* Do the estimated cardiac output and central venous saturation by the novel method agree with our invasive arterial pressure method for cardiac output, and samples via a central venous line, respectively? 300 participants will be anesthetized with total intravenous anesthesia and ventilated with the novel carbon dioxide based method, and arterial and central venous blood gases will be taken regularly throughout the operation. All physiological data will be stored for later analyses and development of the algoritm by machine learning methods. No other invasive interventions will be performed outside our standard clinical peroperative protocol.
Conditions
- Monitoring, Intraoperative
Interventions
- DEVICE
-
Capnodynamic method
All patients will be ventilated using the novel capnodynamic method, incorporated in a modified Maquet servo I ventilator. For this reason, all patients will be anesthetized using total intravenous anesthesia.
Sponsors & Collaborators
-
KTH Royal Institute of Technology
collaborator OTHER -
Getinge Group
collaborator OTHER -
Region Stockholm
lead OTHER_GOV
Principal Investigators
-
Greg Winski, Dr · Karolinska University Hospital
Study Design
- Allocation
- NA
- Purpose
- SUPPORTIVE_CARE
- Masking
- NONE
- Model
- SINGLE_GROUP
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2024-02-29
- Primary Completion
- 2026-12-31
- Completion
- 2026-12-31
More Related Trials
-
A PREDICTIVE ALGORITHM IN AORTIC SURGERY
NCT06984302 ·Status: RECRUITING ·Phase: NA
-
Postspinal Hypotension and Cardiac Performance in the Elderly
NCT02978066 ·Status: COMPLETED
-
Influence of the "Hypotension Probability Index" on Intraoperative and Postoperative Hypotension in ENT- and OM-Surgery
NCT04151264 ·Status: COMPLETED ·Phase: NA
-
A Effectiveness Trial of Early Hemodynamic Support in Patients Demonstrating a Low Systolic Blood Pressure
NCT01654835 ·Status: WITHDRAWN ·Phase: NA
-
Controling Mean Arterial Pressure Using a Closed-Loop System for Vasopressor Titration
NCT04586218 ·Status: COMPLETED ·Phase: NA
-
Hypotension Prediction Index (HPI) in Lung Resections
NCT06202638 ·Status: RECRUITING
-
Prevention or Treatment of Arterial Hypotension and Oxygen Cerebral Saturation During Major Abdominal Surgery
NCT05481047 ·Status: COMPLETED ·Phase: NA
-
Prediction of Hypotension Using Perfusion Index Following Spinal Anesthesia
NCT06427382 ·Status: COMPLETED
-
Continuous Versus 1-min Oscillometric Arterial BP Monitoring
NCT05792436 ·Status: COMPLETED ·Phase: NA
-
Hemodynamic Monitoring Carotid Surgery
NCT06926010 ·Status: RECRUITING ·Phase: NA
-
Corrected Flow Time in the Carotid Artery as a Predictor of Fluid Responsiveness in Mechanically Ventilated Patients With Low Tidal Volume in the Intensive Care Unit
NCT04139031 ·Status: COMPLETED
-
Can Continuous Non-invasive Monitoring Improve Stability of Intraoperative Blood Pressure - A Feasibility Study.
NCT04051073 ·Status: COMPLETED ·Phase: PHASE3
-
Deep Learning Models for Prediction of Intraoperative Hypotension Using Non-invasive Parameters
NCT05762237 ·Status: COMPLETED
-
Haemodynamic Response to General Anaesthesia in Healthy Orthopaedic Patients
NCT02834000 ·Status: COMPLETED ·Phase: NA
-
Hemodynamic Response During Goal Directed Fluid Therapy in the OR
NCT02365688 ·Status: TERMINATED ·Phase: NA
-
HPI for Prevention of Hypotension During Cardiac Surgery
NCT06137547 ·Status: RECRUITING ·Phase: NA
-
Development of a Prediction Model for Intraoperative Blood Pressure Variability
NCT05698433 ·Status: COMPLETED
-
Cerebral Perfusion Variation During Blood Pressure Changes in ICU
NCT05804773 ·Status: RECRUITING
-
Hypotensive Effect of Anaesthesia With TCI
NCT02733406 ·Status: COMPLETED ·Phase: NA
-
Parameters of Cerebral Perfusion
NCT02806492 ·Status: COMPLETED ·Phase: NA
-
Machine Learning Modeling of Intraoperative Hemodynamic Predictors of Postoperative Outcomes
NCT04014010 ·Status: COMPLETED
-
The Effects of Individualized Oxygen Dynamic on Prognosis of Patients With High-risk Cardiac Surgery
NCT03103633 ·Status: COMPLETED ·Phase: NA
-
Cognitive Effects of Body Temperature During Hypothermic Circulatory Arrest
NCT02834065 ·Status: COMPLETED ·Phase: NA
-
External Validation of Prediction Algorithm Using Non-invasive Monitoring Device for Intraoperative Hypotension
NCT06897514 ·Status: RECRUITING
-
Individualized Fluid And Vasopressor Administration In Surgical Patients
NCT03965793 ·Status: COMPLETED ·Phase: NA