Surgery Clinical Trial
— PRESCIENCEOfficial title:
Predicting Fluid REsponsiveness Using Superior Vena Cava Collapsibility IndEx duriNg High-risk Non-Cardiac surgEry (PRESCIENCE)
The goal of this prospective study is to validate the superior vena cava collapsibility index (SVC-CI) as a predictor of fluid responsiveness during laparotomy and open aortic surgery. The SVC-CI and patients' response to fluid will be assessed based on transesophageal echocardiography. The study has three arms, in order to validate SVC-CI under the conditions of laparotomy, aortic cross clamping and high PEEP levels. One of the study arms will be an active comparator arm. The data obtained from this study may help physicians guide intraoperative fluid therapy in a more efficient manner, in order to decrease perioperative mortality.
Status | Recruiting |
Enrollment | 150 |
Est. completion date | January 1, 2027 |
Est. primary completion date | January 1, 2027 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years and older |
Eligibility | Inclusion Criteria: - Signed ICF (informed consent form) - Age > 18 years old Eligibility criteria for each arm (additionally to mandatory criteria) - Arm 1 - Patients undergoing open aortic surgery - Arm 2 - Patients undergoing laparotomy - Arm 3 - Patients undergoing laparotomy with sinus rhytm Exclusion Criteria: 1. Patients who are deemed to be at risk of harm due to excessive fluid administration: - End-stage renal disease (eGFR <15ml/kg/min) - Decompensated heart failure - Respiratory failure prior to surgery - Other cases where the risk of harm from fluid overload is assessed to be significant by the investigator 2. Medical contraindication to the use of transesophageal echocardiography: - Active ulcerative gastritis or bleeding from upper gastrointestinal tract - Past history of esophageal or gastric surgery - Esophageal varices or other esophageal disease (stricture, Barret's disease, perforation in the past, achalasia) |
Country | Name | City | State |
---|---|---|---|
Poland | Opole University Hospital | Opole |
Lead Sponsor | Collaborator |
---|---|
Uniwersytecki Szpital Kliniczny w Opolu |
Poland,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Fluid responsiveness | Fluid responsiveness was defined as an increase of 10% or more of cardiac output (CO) following an administered 250ml fluid bolus. Changes in CO will be estimated using changes in left ventricle outflow tract velocity time integral (LVOT-VTI) assessed by transesophageal echocardiography to avoid errors associated with measuring LVOT area, which is necessary to calculate CO. | Directly after infusing fluid bolus. |
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