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Fluid Responsiveness Tested by the Effective Pulmonary Blood Flow During a Positive End-expiratory Trial

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合作者:
信息的提供 (责任方):
October 1, 2018
October 3, 2018
October 3, 2018
September 5, 2018
June 1, 2019   (主要结果测量的最终数据收集日期)
Fluid responsivess assessment with the effective pulmonary blood flow[ Time Frame: 10 months ]
Comparison between standard method (pulse pressure variation) with a new method of fluid responsiveness (Effective pulmonary blood flow).

与当前相同
  • [ Time Frame: ]
 
Fluid Responsiveness Tested by the Effective Pulmonary Blood Flow During a Positive End-expiratory Trial
The Reliability of Noninvasive Effective Pulmonary Blood Flow to Detect Fluid Responsiveness During a Positive End-expirator Trial in Ventilated Patients

Fluid responsiveness is difficult to assess at the bedside. The accuracy of published techniques to detect preload-dependent patients have many pitfalls and limitations. The present study test the role of noninvasive effective pulmonary blood flow measured by expired carbon dioxide to detect fluid responsivess in mechanically ventilated patients.

This is a prospective and observational study designed to test the accuracy of the non-invasive effective pulmonary blood flow measured by the capnodynamic methodology for detect preload-dependent patients. We will study 40 patients undergoing mechanical ventilation during surgery. Preload-depency (fluid responsiveness) will be tested during an increase in end-expiratory pressure (PEEP) from 5 to 10 cmH2O during one minute. Pulse pressure variation will be use as the reference method to detect preload-dependency. The effective pulmonary blood flow will be continuously recorded during the PEEP maneuver. Receiver Operator Curves will be used to detect fluid responsiveness taking a pulse pressure variation higher than 13% and we will determine the corresponding cut off value for the effective pulmonary blood flow signal.
Observational
分配:
干预模型:
干预模型描述:
盲法: Observational
盲法描述:
主要目的:
  • Procedure: PEEP trial
    Positive end-expiratory pressure (PEEP) is increased from 5 to 10 cmH2O during one minute.
  • : Patients undergoing surgeries
    Patients undergoing surgery with general anesthesia and controlled mechanical ventilation with indication of invasive arterial blood pressure. Classification ASA 2-4
 
Recruiting
40
与当前相同
August 1, 2019
June 1, 2019   (主要结果测量的最终数据收集日期)
Inclusion Criteria: - Written informed consent - Programmed cardiac and noncardiac surgeries - Need of invasive arterial blood pressure monitoring. Exclusion Criteria: - Emergency surgeries. - Acute pulmonary diseases - Arrhytmias - Congestive cardiac failure
参与研究的性别: All
最小年龄:18 Years ,最大年龄:80 Years  
没有
Argentina
 
Yes
研究美国FDA监管的药品: No
研究涉及美国FDA监管的设备产品: No
计划分享 IPD: No
Hospital Privado de Comunidad de Mar del Plata
Principal Investigator: Gerardo Tusman, MD Hospital Privado de Comunidad de Mar del Plata
September 2018

ICMJE     国际医学期刊编辑委员会和 世界卫生组织 ICTRP 要求的元素
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