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Prone Fluid Responsiveness in Children

Not Applicable
Conditions
Pediatric ALL
Interventions
Procedure: TVC
Registration Number
NCT05449886
Lead Sponsor
Seoul National University Hospital
Brief Summary

In pediatric patients in the prone position, the reliability of pulse pressure variation and stroke volume variation, and pleth variability index to predict fluid responsiveness have not previously been established. Perioperatively, in this setting, optimizing fluid management can be challenging, and fluid overload is associated with both intraoperative and postoperative complications. The investigator designed this study to assess the sensitivity and specificity of baseline PPV, SVV, and PVI the tidal volume (VT) challenge (VTC) and in predicting fluid responsiveness during elective neurosurgery.

Detailed Description

Not available

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
40
Inclusion Criteria
  • elective neurosurgery and requiring prone positioning
Exclusion Criteria
  • (1) chronic cardiac arrhythmia; (2) depressed left (<30% of ejection fraction) (3) patients with pulmonary disease

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
Tidal volume challengeTVC-
Primary Outcome Measures
NameTimeMethod
fluid responsiveness prediction using AUC of ROC curve analysisfrom induction of anesthesia to end of operation, about 5 hours

stroke volume index increase more than 10% from baseline after volume administration (10ml/kg) Fluid responsiveness parameters; PPV, SVV, PVI, rPVI before and after tidal volume challenge

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Hee-Soo Kim

🇰🇷

Seoul, Korea, Republic of

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