Uncalibrated Pulse Contour to Assess Fluid Responsiveness in Off Pump Cardiac Surgery
NCT06822361 · Status: COMPLETED · Type: OBSERVATIONAL · Enrollment: 55
Last updated 2026-03-18
Summary
The goal of this observational study is to Compare the performance of uncalibrated pulse wave contour analysis compared with transesophageal echocardiography (TEE) to assess response to a vascular filling test during beating-heart coronary artery bypass surgery, in people over age of 18; hospitalized for scheduled beating heart bypass surgery The aim question is to evaluate the ability of a less invasive cardiac output monitor (uncalibrated pulse wave contour analysis) compared with a reference cardiac output measurement (transesophageal echocardiography) to enable optimization of vascular filling by good assessment of the response to vascular filling in a high-risk perioperative patient population.
As part of hemodynamic monitoring, every patient undergoing beating-heart coronary bypass surgery is fitted with a radial arterial catheter immediately after induction of anesthesia, enabling continuous measurement of blood pressure. Hemodynamic optimization in these patients also involves fitting a transesophageal ultrasound probe to optimize cardiac output using the various therapies available (vascular filling, vasopressors, inotropes).
A specific sensor (FloTrac°, Hemosphere, Edwards°) will be connected to the arterial pressure line to obtain a systolic ejection volume value by analyzing the contour of the uncalibrated pulse wave.
The hemodynamic management of the patient, and the decision to perform a vascular filling test, will be left to the discretion of the practitioner in charge of the patient in the operating room.
Conditions
- Coronary Surgery
Sponsors & Collaborators
-
Centre Hospitalier Universitaire de la Réunion
lead OTHER
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2024-12-23
- Primary Completion
- 2025-10-10
- Completion
- 2025-10-10
Countries
- Reunion
Study Locations
More Related Trials
-
Cardiac Deformation: Correlation With Conventional Echocardiographic Hemodynamic Variables (An Intraoperative Study)
NCT00874991 ·Status: COMPLETED
-
Validation of Automated Cardiac Output Measurement
NCT03372863 ·Status: COMPLETED
-
Focused Assessed Echocardiography to Predict Fluid Responsiveness
NCT03044405 ·Status: COMPLETED ·Phase: NA
-
Association Between Portal Flow Pulsatility and Right Ventricular Dysfunction in the Postoperative Period of Cardiac Surgery
NCT06777355 ·Status: COMPLETED
-
Intraoperative Transesophageal Echocardiography Assessment of Portal Vein Flow and Renal Resistive Index As a Predictor of Acute Kidney Injury After Cardiac Surgery: A Prospective Observational Study
NCT04112953 ·Status: COMPLETED
-
Relationship Between Strain and Stroke Volume in Cardiac Surgery
NCT04694378 ·Status: COMPLETED
-
Measurement of Cardiac Output Before and After Cardiopulmonary Bypass.
NCT01103895 ·Status: TERMINATED
-
The Clinical Significance of Portal Hypertension After Cardiac Surgery: a Multicenter Prospective Observational Study
NCT03656263 ·Status: COMPLETED
-
Interest of a Hybrid Connected Watch for Cardiac Rhythm Monitoring in Post-operative Cardiac Surgery
NCT05664308 ·Status: RECRUITING
-
A Comparison of Right Ventricular Function in the Apical and Subcostal 4 Chamber TTE Views in the Perioperative Setting
NCT05452044 ·Status: UNKNOWN
-
Influence of Lung Ultrasonography on the Prognosis and Postoperative Outcomes in Cardiac Surgical Patients
NCT06377449 ·Status: RECRUITING ·Phase: NA
-
The Consistency of Cardiac Output Measured by Pulmonary Artery Catheter and LiDCO in Cardiac Surgical Patients
NCT04604886 ·Status: UNKNOWN ·Phase: NA
-
SSVC-CI During CABG
NCT06645327 ·Status: RECRUITING
-
Echocardiography With Bubble Test for Tip Location of Central Venous Catheters
NCT06243445 ·Status: COMPLETED
-
Accurate Measurement of Cardiac Output Using the Ultrasound Dilution Technique
NCT00851422 ·Status: COMPLETED
-
Comparison of Two Methods of Strain by Perioperative Transesophageal Echo in CABG : An Observational Study
NCT02692131 ·Status: COMPLETED
-
Assement of Left Ventricular Function Before Decannulation in Cardiac Surgery :Visual Estimation vs TEE
NCT07286227 ·Status: NOT_YET_RECRUITING
-
Comparison of Dynamic Fluid Responsiveness by EIT and Transpulmonary Thermodilution in Postoperative of CABG Patients
NCT04362033 ·Status: UNKNOWN ·Phase: NA
-
Comparison of Cardiac Output With LiDCO Rapid and TEE Against Thermodilution Technique in Cardiac Surgery
NCT02511457 ·Status: COMPLETED
-
Cardiac Output Measurement by TEE
NCT03349970 ·Status: UNKNOWN
-
Measurement of Cardiac Output and Blood Volumes Using Transonic Ultrasound Dilution Technology
NCT00756119 ·Status: COMPLETED
-
Comparison of Cardiac Index (CI) Measurements Performed With Different Methods
NCT05236426 ·Status: UNKNOWN
-
Validating TEE Measurements of Right Ventricular Function
NCT03264183 ·Status: COMPLETED
-
Evaluation of Monitoring TECHNOlogies in the PERI-OPerative Care of Cardiac Surgical Patients
NCT02658006 ·Status: COMPLETED
-
Peak Systolic Global Longitudinal Strain and Low Cardiac Output Syndrome After Cardiac Surgery
NCT02771080 ·Status: COMPLETED