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A monocentric prospective randomized controlled trial on the effect of crystalloids and colloids on the cardiac stroke volume during neurosurgical spine surgery

Phase 4
Conditions
M43.9
Deforming dorsopathy, unspecified
Registration Number
DRKS00022917
Lead Sponsor
Justus-Liebig-Universität GießenKlinik für Anästhesiologie, operative Intensivmedizin und Schmerztherapie
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Complete
Sex
All
Target Recruitment
40
Inclusion Criteria

informed consent
male and female patients undergoing neurosurgical spine surgery in prone position (XLIF, TLIF, spondylodesis)
Age > 18y
ASA I - III
general anaesthesia
invasive blood pressure monitoring

Exclusion Criteria

age < 18y
emergency surgery
ASA IV - V
acute heart failure
chronic heart failure NYHA III-IV
arterial fibrillation
arterial disease (> stage IIb)
chronic kidney disease (> stage II according to KDIGO)
pregnancy
lack of consent
participation in another (interventional) study

Study & Design

Study Type
interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
the change in cardiac stroke volume before and after intervention measured by non-calibrated hemodynamic monitoring
Secondary Outcome Measures
NameTimeMethod
change in cardiac stroke volume > 10%, requirements for catecholamines (norepinephrine, epinephrine before and after the intervention µg/kg/min), change in mean arterial pressure (MAP), perioperative fluid balance, duration and AUC of hypotension (MAP < 65 mmHg)
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