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Influence of early goal-directed therapy using arterial waveform cardiac output measurement in high-risk surgery.

Conditions
early goal-directed therapy (EGDT)cardiac outputarterial waveform analysishigh-risk surgeryabdominal surgery
Registration Number
NL-OMON24432
Lead Sponsor
Division of Vital FunctionsUniversity Medical Center Utrecht
Brief Summary

/A

Detailed Description

Not available

Recruitment & Eligibility

Status
Pending
Sex
Not specified
Target Recruitment
542
Inclusion Criteria

1. Patients undergoing the following elective operations, irrespective of their ASA status:

A. Esophagectomy;

Exclusion Criteria

1. Patients in which cardiac output measurement is indicated;

2. Age < 18 years;

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
The primary outcome is a combined endpoint of the number of major complications within the first 30 days after surgery:<br /><br>1. Mortality (any cause);<br /><br>2. Cardiac arrest;<br /><br>3. Myocardial infarction;<br /><br>4. Pulmonary edema;<br /><br>5. Stroke;<br /><br>6. Prolonged mechanical ventilation (>24 hrs);<br /><br>7. Pulmonary embolism;<br /><br>8. Pneumonia;<br /><br>9. Respiratory failure (requiring mechanical ventilation);<br /><br>10. Acute kidney injury;<br /><br>11. Anastomotic leak;<br /><br>12. Re-operation;<br /><br>13. Wound infection;<br /><br>14. Sepsis.<br /><br>These major complications are associated with an increased 30-day and long-term mortality.
Secondary Outcome Measures
NameTimeMethod
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