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Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT06101498
Other study ID # 2023.478
Secondary ID
Status Completed
Phase N/A
First received
Last updated
Start date January 1, 2023
Est. completion date September 1, 2023

Study information

Verified date November 2023
Source Bakirkoy Dr. Sadi Konuk Research and Training Hospital
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

The aim of this study is to evaluate the effect of perioperative fluid management on postoperative kidney damage in gynecological cancer surgeries. The main question[s] it aims to answer are: Does fluid management applied with different hemodynamic monitoring methods affect the risk of postoperative AKI? In our clinic, three different fluid management strategies are applied depending on the anesthetist experience. Acute kidney injury will be evaluated according to the postoperative AKIN classification of conventional fluid therapy and targeted fluid therapy with noninvasive or minimally invasive monitoring.


Description:

Our study was designed as a retrospective study. The files of patients over the age of 18 who underwent open abdominal surgery due to ASAII and III gynecological malignancy will be examined retrospectively. Patients who cannot be monitored peroperatively and who undergo HIPEC will be excluded from the study. Patients will be divided into 3 groups according to the fluid management strategy and the hemodynamic monitoring used: Group 1: patients receiving conventional fluid therapy; Group 2: patients receiving targeted fluid therapy with noninvasive monitoring; Group 3: patients receiving targeted fluid therapy with minimally invasive monitoring.


Recruitment information / eligibility

Status Completed
Enrollment 180
Est. completion date September 1, 2023
Est. primary completion date August 1, 2023
Accepts healthy volunteers Accepts Healthy Volunteers
Gender Female
Age group 18 Years and older
Eligibility Inclusion Criteria: - >18 years - ASA II-III - Those with normal renal function Exclusion Criteria: - Patients in renal insufficiency - Patients with perioperative renal, ureter & bladder invasion - Patients in whom perioperative urine monitoring cannot be performed - Patients undergoing HIPEC - Patients with missing data

Study Design


Related Conditions & MeSH terms


Intervention

Diagnostic Test:
Akut kidnet injury(AKI)
postoperative 24 hours

Locations

Country Name City State
Turkey Basaksehir Çam and Sakura City Hospital Istanbul Basaksehir

Sponsors (1)

Lead Sponsor Collaborator
Bakirkoy Dr. Sadi Konuk Research and Training Hospital

Country where clinical trial is conducted

Turkey, 

References & Publications (5)

Hasselgren E, Hertzberg D, Camderman T, Bjorne H, Salehi S. Perioperative fluid balance and major postoperative complications in surgery for advanced epithelial ovarian cancer. Gynecol Oncol. 2021 May;161(2):402-407. doi: 10.1016/j.ygyno.2021.02.034. Epub — View Citation

McKenny M, Conroy P, Wong A, Farren M, Gleeson N, Walsh C, O'Malley C, Dowd N. A randomised prospective trial of intra-operative oesophageal Doppler-guided fluid administration in major gynaecological surgery. Anaesthesia. 2013 Dec;68(12):1224-31. doi: 10 — View Citation

Russo A, Aceto P, Grieco DL, Anzellotti GM, Perilli V, Costantini B, Romano B, Scambia G, Sollazzi L, Antonelli M. Goal-directed hemodynamic management in patients undergoing primary debulking gynaecological surgery: A matched-controlled precision medicin — View Citation

Yildiz GO, Hergunsel GO, Sertcakacilar G, Akyol D, Karakas S, Cukurova Z. Perioperative goal-directed fluid management using noninvasive hemodynamic monitoring in gynecologic oncology. Braz J Anesthesiol. 2022 May-Jun;72(3):322-330. doi: 10.1016/j.bjane.2 — View Citation

Yu J, Che L, Zhu A, Xu L, Huang Y. Goal-Directed Intraoperative Fluid Therapy Benefits Patients Undergoing Major Gynecologic Oncology Surgery: A Controlled Before-and-After Study. Front Oncol. 2022 Apr 6;12:833273. doi: 10.3389/fonc.2022.833273. eCollecti — View Citation

Outcome

Type Measure Description Time frame Safety issue
Other The intensive care unit admission The other aim to investigate the intensive care unit admission posoperatively up to 1 months
Other Length of stay The other aim to evaluate the duration of hospital stay. postoperative 30 days
Primary Evaluation of acute kidney injury Our primary aim was to evaluate the postoperative day(POD1 ) creatinine values(mg/dl) Change from preoperative to postoperative day 1(POD1)creatinine values(mg/dl)
Secondary Peroperative fluid amounts The seconder aim to investigate the amount of fluid used peroperatively during the operation period
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