Implementation of a GDT Algorithm for Major Surgery Patients

Philipps University

Status: Completed

Conditions: Fluid Therapy; Pancreatectomy; Colectomy

Study type: Observational

Funder types: Other

Identifiers

NCT02509910

UKGMGDT

Details and patient eligibility

About

This study examines the effect of an algorithm for GDT for patients undergoing major surgery under routine conditions.

Full description

Goal directed fluid management in major abdominal surgery has been shown to reduce perioperative complications. The approach aims to optimize the intravascular fluid volume by use of minimally invasive devices which calculate flow-directed variables such as stroke volume (SV) and stroke volume variation (SVV). The investigators aim to show the feasibility of routinely implementing such hemodynamic monitoring during major abdominal surgery, and to evaluate its effects in terms of perioperative fluid management and postoperative outcomes.

Enrollment: 300 patients

Sex: All

Volunteers: No Healthy Volunteers

Inclusion criteria

• pancreatic surgery
• colorectal surgery

Exclusion criteria

• admission for revisional surgery

Trial design

300 participants in 2 patient groups

Standard therapy

Description:

intraoperative standard fluid therapy for major abdominal surgery

Goal directed therapy

Description:

intraoperative goal directed fluid therapy based on an angorithm lead by SVV/CI for major abdominal surgery patients