Evaluation of Monitoring TECHNOlogies in the PERI-OPerative Care of Cardiac Surgical Patients (TechnoPeriOp)

University of Montreal

Status: Completed

Conditions: C.Surgical Procedure; Cardiac; Postoperative Complications; Respiratory Insufficiency; Acute Kidney Injury; Right-Sided Heart Failure

Treatments: Procedure: Cardiac surgery

Study type: Observational

Funder types: Other; Industry

Identifiers

NCT02658006

2015-1903

Details and patient eligibility

About

The purpose of this prospective observational cohort study is to evaluate multimodal monitoring technologies in the perioperative care of cardiac surgical patients. Right ventricular pressure tracings, near infrared spectroscopy (NIRS) and transthoracic ultrasonography will be studied for their ability to detect and predict complications such as right ventricular failure, renal failure and respiratory failure.

Full description

The study has 4 main objectives:

1. To determine if right ventricular pressure tracings correlate with other indices of right ventricular failure and with positive fluid balance, renal failure and increased length of stay in the intensive care unit.
2. To determine the prevalence of portal vein pulsatility in the perioperative period and its association with right ventricular failure and positive fluid balance.
3. To determine if Near InfraRed Spectroscopy (NIRS) values correlate with mixed venous oxygen saturation (SvO2) and with poorer post-operative prognosis.
4. To determine the incidence, risk factors and prognosis of respiratory complications of cardiac surgery using transthoracic ultrasonography.

Enrollment: 120 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Cardiac surgery performed at the Montreal Heart Institute
• 18 years old and older

Exclusion criteria

• Urgent surgery
• Pre-operative intra-aortic balloon pump, left ventricular assist device or ECMO
• Heart transplant
• Cirrhosis

Trial design

120 participants in 1 patient group

Cardiac surgical patients

Description:

Adult patients having a cardiac surgery at the Montreal Heart Institute

Treatment:

Procedure: Cardiac surgery