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Fluid responsiveness after cardiac surgery

Withdrawn
Conditions
Patients admitted to the Intensive Care Unit following Coronary Artery Bypass Grafting (CABG).
Cardiovascular - Coronary heart disease
Surgery - Other surgery
Registration Number
ACTRN12605000405617
Lead Sponsor
niversity of Queensland
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Withdrawn
Sex
All
Target Recruitment
20
Inclusion Criteria

Patient booked for CABG surgery.Left ventricular ejection fraction greater than 40% pre-operatively (as determined by echocardiography or radiocontrast ventriculography).Normal cardiac valvular function (defined as mitral or aortic valve regurgitation less than 2+ on echocardiography).Normal respiratory function (defined as absence of documented respiratory pathology or FEV1/FVC greater than or equal to 60%).Absence of oesophageal pathology that would contraindicate transoesophageal echocardiography.

Exclusion Criteria

ECG demonstrates rhythm other than sinus rhythm or AAI pacing post-operatively.Pulmonary hypertension (defined as pulmonary systolic blood pressure greater than 50mmHg as estimated by echocardiography pre-operatively or by pulmonary artery catheter at the time of insertion).Blood loss greater than 250mL in the first hour post-operatively.

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
An increase in mean cardiac output, as determined by pulmonary artery catheter thermodilution, by equal to or greater than 10% within half an hour of rapid intravenous fluid administration compared with immediately before fluid administration.[30 minutes]
Secondary Outcome Measures
NameTimeMethod
The impact of varying positive end expiratory pressure (PEEP).[Preload and afterload upon measured variables will be assessed.]
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