Bariatric Surgery Clinical Trial
Official title:
Accuracy of Non-invasive Assessment of Cardiac Output and Fluid Responsiveness in Patients Undergoing Bariatric Procedures.
Comparability of discontinuous non-invasive (sphygomanometric) and continuous semi-invasive and invasive (Masimo©; Nexfin© Monitoring ; FloTrac © Edwards Lifesciences) beat to beat measurement methods for the determination of cardiac output and fluid responsiveness in patients undergoing bariatric surgery.
Comparability of discontinuous non-invasive (sphygomanometric) and continuous semi-invasive
and invasive (Masimo©; Nexfin© Monitoring ; FloTrac © Edwards Lifesciences) beat to beat
measurement methods for the determination of cardiac output and fluid responsiveness in
patients undergoing bariatric surgery.
Bariatric patients show limitations regarding the conventional monitoring options with ECG
derivation, pulse oxymetric oxygen saturation and sphygmo-manometric blood pressure
measurement. From a clinical point of view this results in an invasive arterial blood
pressure monitoring. In addition to that, intraoperative extreme changes of the patients
position on the table combined with the applied pneumoperitoneum during the minimally
invasive laparoscopic surgery can significantly influence the cardiovascular parameters. An
invasive arterial blood pressure monitoring is able to reproduce the blood pressure by
stroke, but it does not give any information about the cardiac output. The sphygmomanometric
blood pressure measurement also entails the risk of insufficient detection of a hypotonic
phase in the measurement. Additional monitoring systems are currently available, which are
capable of measuring completely non-invasive or semi-invasively different cardiovascular
parameters such as cardiac output (CO) and volume responsiveness. In this study, the
investigators will compare continuous and discontinuous cardiovascular monitoring procedures
and their parameters. The measurements take place at specific times, under defined changes
in the body position with the additional influence of the pneumoperitoneum.
These changes are recorded and compared at the same time during different measuring methods
preoperatively, intraoperatively and postoperatively. The non-invasive Nexfin © Monitoring
(Edwards Lifesciences) is to be evaluated and compared with further measurement methods
(FloTrac © (Edwards Lifesciences)) as well as the sphygmomanometric upper arm blood pressure
measurement. The investigators also compare the non-invasive and invasive continuous beat to
beat blood pressure measurement with conventional, discontinuous sphygomanometric upper arm
blood pressure measurement.
The planned study is the comparison of 3 different hemodynamic monitoring procedures. For
the evaluation we use the method used by Bland and Altmann for calculating the mean
deviation (bias) and the precision (mean value ± 2 standard deviations. In the case of
multiple measurements , the modification of the Bland-Altman method is applied (repeated
measurements). The number of cases was determined with n = 60 patients, followed by an
intermediate evaluation. For a Bland-Altman analysis, the width w of the confidence interval
for the Limits of Agreement is calculated as w = 6.79 • σ • 1 / √n, where n is number of
cases and σ is the standard deviation. For a case count of n = 60, the result is w = 0.88 •
σ and thus for this explorative study a sufficiently large number. In case of the dynamic
variables, the percentage matching and the calculation of the kappa index are also used for
the statistical evaluation.
;
Status | Clinical Trial | Phase | |
---|---|---|---|
Not yet recruiting |
NCT04517591 -
Reducing Sedentary Time in Bariatric: The Take a STAND for Health Study
|
N/A | |
Active, not recruiting |
NCT04433338 -
The PREBA Study: Effect of Preoperative Weight Loss With a 14-day Low-calorie Diet on Surgical Procedure and Outcomes in Patients Undergoing RYGB Surgery
|
N/A | |
Completed |
NCT05854875 -
Diabetes Remission After RYGBP and RYGBP With Fundus Resection
|
N/A | |
Recruiting |
NCT06460233 -
Blood Pressure Changes After Bariatric Surgery
|
||
Completed |
NCT00535600 -
Effects of Bariatric Surgery on Insulin
|
||
Withdrawn |
NCT04771247 -
Endoscopic Cardiac Band Ligation for the Management of Refractory GERD After Laparoscopic Sleeve Gastrectomy
|
N/A | |
Not yet recruiting |
NCT03203161 -
Registry on Obesity Surgery in Adolescents
|
||
Enrolling by invitation |
NCT02552433 -
Complications in Body Contouring Surgery
|
||
Completed |
NCT02525016 -
Safety Profile of IntRAvenous Lidocaine Use in Coelioscopic Bariatric Surgery
|
Phase 3 | |
Recruiting |
NCT01984762 -
Sleeve Gastrectomy and Roux-en-Y Gastric Bypass in the Treatment of Type 2 Diabetes Mellitus.
|
N/A | |
Not yet recruiting |
NCT01652105 -
Randomized Trial of Preoperative Diets Before Bariatric Surgery
|
N/A | |
Completed |
NCT00989157 -
Effects of Gastric Bypass on Blood Levels of Duloxetine
|
Phase 3 | |
Completed |
NCT03609632 -
Understanding Hypoglycaemia After Bariatric Surgery
|
N/A | |
Completed |
NCT05454696 -
Online Clinic Pilates Exercises in Patients Undergoing Bariatric Surgery
|
N/A | |
Completed |
NCT04040647 -
Tolerance of Early Postoperative Mobilization and Ambulation
|
||
Recruiting |
NCT04297306 -
Virtual Reality Exercise Gaming in Patients Awaiting Bariatric Surgery
|
N/A | |
Recruiting |
NCT05428618 -
Mobile Application for Bariatric Surgery Patients
|
N/A | |
Not yet recruiting |
NCT03900481 -
Use of an Endoluminal-suturing Device for Endoscopic Gastric Reduction as an Aid for Class I Obesity, or Class II Obesity Without Comorbidity
|
N/A | |
Not yet recruiting |
NCT03975244 -
Semi-supervised Exercise Program Before Bariatric Surgery
|
N/A | |
Recruiting |
NCT06157606 -
Prediction Model for Inadequate Weight Loss After Sleeve Gastrectomy
|