MedPath

Pediatric Cardiac Output Monitoring Observational Study

Completed
Conditions
Pediatric ALL
Registration Number
NCT04465370
Lead Sponsor
Edwards Lifesciences
Brief Summary

To assess Cardiac Output Monitoring in pediatric subjects by comparing FloTrac and ClearSight system to intermittent thermodilution Swan-Ganz, in order to expand the indications of FloTrac, ClearSight and Swan-Ganz thermodilution pulmonary artery catheter to the pediatric population 12 to 18 years of age.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
89
Inclusion Criteria
  • Subjects who are 12 to 18 years of age
  • Subjects who have signed the Informed Consent Form
  • Subjects who are projected to receive Swan-Ganz catheter as part of procedure/standard of care with intermittent cardiac output measures
  • For those Subjects who have had a cardiac transplant,Subjects who are at least 2 weeks post cardiac transplantation
  • Subjects with planned pressure monitoring with an arterial line
Exclusion Criteria
  • Subjects with contraindications for Pulmonary Artery Catheters Placement and monitoring (recurrent sepsis, or with hypercoagulopathy);
  • Subjects with contraindications for Arterial Line Placement;
  • Subjects with an extreme contraction of the smooth muscle in the arteries and arterioles in the lower arm and hand (i.e., Raynaud's Disease).
  • Subjects with a physical site area too limited for proper Sensor placement
  • Subjects with finger size less than the smallest finger cuff size
  • Documented ≥ moderate pulmonary hypertension (PAPm > 25mmHg, PVRI > 3.0 WUxm2)
  • Presence of intracardiac shunting (i.e., ASD, VSD)
  • Aorto-pulmonary collaterals
  • ≥ Moderate tricuspid regurgitation, per echocardiogram criteria
  • > Moderate Aortic or pulmonary regurgitation, per echocardiogram criteria
  • Persistent cardiac arrythmias during the cardiac catheterization period (> 3min)
  • Vascular abnormalities of the arterial system (i.e., connective tissue disorders, mid-aortic syndrome)

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Bias of FloTrac Arterial Pressure Cardiac Output (L/Min) Against Swan Ganz Invasive Cardiac OutputDuration of cardiac catheterization procedure, an average of 2 hours

Bias of FloTrac Arterial Pressure Cardiac Output (APCO) against Swan Ganz Invasive Cardiac Output (ICO) was calculated via Bland-Altman analysis

Precision of FloTrac Arterial Pressure Cardiac Output (L/Min) Against Swan Ganz Invasive Cardiac OutputDuration of cardiac catheterization procedure, an average of 2 hours

Precision of FloTrac Arterial Pressure Cardiac Output (APCO) against Swan Ganz Invasive Cardiac Output (ICO) was calculated via Bland-Altman analysis

Bias of ClearSight Arterial Pressure Cardiac Output (L/Min) Against Swan Ganz Invasive Cardiac OutputDuration of cardiac catheterization procedure, an average of 2 hours

Bias of ClearSight Arterial Pressure Cardiac Output (APCO) against Swan Ganz Invasive Cardiac Output (ICO) was calculated via Bland-Altman analysis

Precision of ClearSight Arterial Pressure Cardiac Output (L/Min) Against Swan Ganz Invasive Cardiac OutputDuration of cardiac catheterization procedure, an average of 2 hours

Precision of ClearSight Arterial Pressure Cardiac Output (APCO) against Swan Ganz Invasive Cardiac Output (ICO) was calculated via Bland-Altman analysis

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (3)

Children's Hospital of Philadelphia

🇺🇸

Philadelphia, Pennsylvania, United States

Texas Children's Hospital

🇺🇸

Houston, Texas, United States

UF Health Shands Children's Hospital

🇺🇸

Gainesville, Florida, United States

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