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Implementation of a GDT Algorithm for Major Surgery Patients

Completed
Conditions
Colectomy
Pancreatectomy
Fluid Therapy
Registration Number
NCT02509910
Lead Sponsor
Philipps University Marburg Medical Center
Brief Summary

This study examines the effect of an algorithm for GDT for patients undergoing major surgery under routine conditions.

Detailed Description

Goal directed fluid management in major abdominal surgery has been shown to reduce perioperative complications. The approach aims to optimize the intravascular fluid volume by use of minimally invasive devices which calculate flow-directed variables such as stroke volume (SV) and stroke volume variation (SVV). The investigators aim to show the feasibility of routinely implementing such hemodynamic monitoring during major abdominal surgery, and to evaluate its effects in terms of perioperative fluid management and postoperative outcomes.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
300
Inclusion Criteria
  • pancreatic surgery
  • colorectal surgery
Exclusion Criteria
  • admission for revisional surgery

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Length of stay in hospital90 days
Secondary Outcome Measures
NameTimeMethod
wound infection90 days
Pneumonia90 days
ACS90 days
acute renal failure90 days
Sepsis90 days
Intraabd. Infection90 days
UTI90 days
intraoperative crystalloid volume1 day
intraoperative colloid volume1 day
Length of stay at ICU90 days
Total amount of complications per patient90 days
Insufficiance of bowel anastomosis90 days

Trial Locations

Locations (1)

University Hospital of Marburg, Department of Anesthesia

🇩🇪

Marburg, Germany

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