Feasibility Clinical Trial
Official title:
Evaluation of an Active Decision Support System for Hemodynamic Optimization During High Risk Vascular Surgery
Rivers et al. laid the foundation for modern hemodynamic and fluid management by
establishing goal directed therapy (GDT) for the treatment of sepsis using fluid and
inotropic and vasoactive agents. There have been many subsequent protocols to improve
outcome in the operating room or in the ICU. These are mainly passive decision support
systems. Active clinical decision support systems using fluid and pharmacologic agents to
improve intraoperative hemodynamics are not really found.
The investigators developed an active clinical decision support system based on an
institutional GDT-protocol using fluid, vasopressors and inotropes using the LiDCOrapid
device.
The goal of the study was to check the feasibility of an active clinical decision support
system to optimize hemodynamics during high risk vascular surgery based on the principles of
GDT implementing fluid, vasopressors and inotropes.
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