Use of Point-of-care Ultrasound in High Risk Surgical Patients

• Conditions: Cardiopulmonary; Ultrasonography; Outcomes
• Interventions: Device: Point-of-care Ultrasound

• Registration Number: NCT03123536
• Lead Sponsor: Zhongda Hospital

Brief Summary

There is currently a lack of evidence to support the use of perioperative point-of-care ultrasound to assess the outcomes in high risk surgical patients. Thus, the purposes of this study were to evaluate whether perioperative use of point-of-care ultrasound can reduce the worse postoperative outcomes in high surgical patients.

Detailed Description

Point-of-care ultrasound is increasingly established as a useful bedside tool when performed by the anesthesiologist for evaluation of cardiopulmonary dysfunction and other emergent situations. However, it remains unclear whether use of perioperative point-of-care ultrasound can reduce the worse postoperative outcomes in high surgical risk patients.

Patients were randomly allocated to two groups. In the point-of-care ultrasound group, treatment was oriented by the findings of point-of-care ultrasound, while in the control group the decisions about the management of patients were made by the experience of the clinical team. The primary outcome measures were hospital mortality and 28-day mortality, and the secondary outcome measures were the complications and length of hospital stay.

Study Timeline

• Study Start: 2017-02-01
• Status Verified: 2017-04
• Study First Submitted: 2017-04-17
• Study First Submitted QC: 2017-04-20
• Last Update Submitted: 2017-04-20
• Study First Posted: 2017-04-21
• Last Update Posted: 2017-04-21
• Primary Completion: 2018-05
• Study Completion: 2018-09

Recruitment & Eligibility

• Status: UNKNOWN
• Sex: All
• Target Recruitment: 200

Inclusion Criteria

• Patients who have comprised cardiovascular，respiratory diseases，or other critical illness.

Exclusion Criteria

• Patients who decline to participate.

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
Point-of-care ultrasound group	Point-of-care Ultrasound	High risk patients received point-of-care ultrasound assessment perioperatively, treatment was oriented by the findings of point-of-care ultrasound.

Primary Outcome Measures

Name	Time	Method
Hypotension	Within 7 days after surgery	Patients who have hypotension which is defined by mean arterial pressure less than 60 mmHg

Trial Locations

Locations (1)

Zhongda Hospital; 🇨🇳 Nanjing, Jiangsu, China