Evaluation of an Active Decision Support System for Hemodynamic Optimization During High Risk Vascular Surgery
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 31
- 主要终点
- number of interventions done according to the active decision support system (GDT protocol)
研究概览
简要总结
Rivers et al. laid the foundation for modern hemodynamic and fluid management by establishing goal directed therapy (GDT) for the treatment of sepsis using fluid and inotropic and vasoactive agents. There have been many subsequent protocols to improve outcome in the operating room or in the ICU. These are mainly passive decision support systems. Active clinical decision support systems using fluid and pharmacologic agents to improve intraoperative hemodynamics are not really found.
The investigators developed an active clinical decision support system based on an institutional GDT-protocol using fluid, vasopressors and inotropes using the LiDCOrapid device.
The goal of the study was to check the feasibility of an active clinical decision support system to optimize hemodynamics during high risk vascular surgery based on the principles of GDT implementing fluid, vasopressors and inotropes.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •elective major vascular surgery such as peripheral arterial surgery and open abdominal aortic surgery except for carotid artery surgery
排除标准
- •patients under 18 years of age
- •absence of cardiac sinus rhythm at induction of anesthesia
结局指标
主要结局
number of interventions done according to the active decision support system (GDT protocol)
时间窗: through study completion, an average of 6 months
The number of interventions done according to the active decision support system (GDT protocol) is calculated.
duration of use of active decision support system
时间窗: through study completion, an average of 6 months
The absolute duration of use and relative duration of use (in relation to the duration of surgery) of the active decision support system are calculated.
次要结局
未报告次要终点
研究者
Arabella Fischer, MD
Dr.
Medical University of Vienna