An Algorithm for Intra-operative Goal-directed Haemodynamic Management in Non-cardiac Surgery (ERAS_feasi)

Charité University Medicine Berlin

Status: Completed

Conditions: Colonic Tumor; Stage IIIB Ovarian Carcinoma; Neoplasm of Head of Pancreas; Fracture of Surgical Neck of Humerus

Study type: Observational

Funder types: Other

Identifiers

NCT01384097

ERAS_feasibility

Details and patient eligibility

About

A systematic literature search a goal-directed haemodynamic algorithm was created. The hypothesis of this study was that the goal-directed haemodynamic algorithm is feasible and can improve clinical outcome.

Full description

After a systematic literature search a goal-directed haemodynamic algorithm was created. The algorithm was adapted to international standards and consensus was reached through a modified Delphi method at international meetings. The feasibility of using the algorithm for intraoperative haemodynamic management was tested and the resultant clinical data analyzed retrospectively for several types of surgery with the hypothesis that the goal-directed haemodynamic algorithm is feasible in the clinical setting and can improve clinical outcome.

Enrollment: 774 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Patients undergoing a surgical repair of hip fractures, open right hemicolectomy and extended hemicolectomy, radical tumor debulking in primary ovarian cancer or a pylorus-preserving pancreatic head resection at the Charité - University Medicine Berlin, Campus Virchow Clinic
• 18 years and older

Exclusion criteria

• emergency procedures

Trial design

774 participants in 2 patient groups

Conventional care

Description:

patients treated by conventional haemodynamic care intraoperatively

Haemodynamic algorithm

Description:

patients treated within a goal-directed haemodynamic algorithm intraoperatively