Effects of FloTrac IQ on changing clinician behaviour in the management of intraoperative hypotension

York Teaching Hospital NHS Foundation Trust0 个研究点目标入组 150 人开始时间: 2019年5月9日最近更新: 2024年1月22日

试验速览

2023 Results article in https://pubmed.ncbi.nlm.nih.gov/38112879/ (added 08/01/2024)

•1. Patients due to undergo elective major abdominal, orthopaedic, head and neck or vascular surgery requiring invasive arterial monitoring (decided at the discretion of the treating clinician) under general anaesthesia with positive pressure ventilation, and with an expected duration of greater than 90 minutes, who will have goal-directed fluid therapy performed as part of their standard care
•2. Clinicians and other allied medical staff will be included in the qualitative study on the basis that they are involved in the care of patients meeting the above criteria and are willing to participate in the structured interviews and questionnaires

•1. Requirement for an intraoperative mean arterial pressure of greater than 65mmHg as decided by the treating surgeon and/or anaesthetist
•2. A preoperative MAP of lower than 65 mmHg documented on 2 separate occasions at preoperative assessment clinic
•3. Significant right or left ventricular heart failure
•4. Known intracardiac shunt
•5. Known severe aortic stenosis (peak velocity greater than 4m per second and/or aortic valve area less than 1 cm2)
•6. Cardiac arrhythmias
•7. Planned positive pressure ventilation with tidal volume < 7 ml/kg
•8. Hepatic surgery
•9. Subjects requiring dialysis
•10. Subjects who do not have the capacity to consent
•11. Subjects aged less than 18 years of age

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