Volume-challenge in Morbid Obesity

NCT ID: NCT01748513

Last Updated: 2013-04-30

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

34 participants

Study Classification

OBSERVATIONAL

Study Start Date

2011-03-31

Study Completion Date

2013-04-30

Brief Summary

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Preoperative venous return stability and euvolemia is essential in management of morbidly obese patients. Fluid therapy regimes for patients with high BMI, especially with focus on preoperative management, are rare and not in consensus.The aim of this study was to evaluate preoperative effects of a standardized, ideal body weight (IBW) based volume-challenge on hemodynamics, stroke volume and level of venous return to the heart.

Detailed Description

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34 morbidly obese patients scheduled for bariatric surgery underwent a preoperative three-week preparation by rapid-weight-loss-diet (RWL) to be accepted for bariatric surgery. Preoperative transthoracic echocardiography (TTE) was performed in the awake state before and after volume-challenge (VC) based on 6ml colloids /kg IBW. Feasibility of standardized VC was evaluated by TTE. Dynamic and non-dynamic echocardiographic indices for VC were studied.

Main outcome measures: Volume-responsiveness and level of venous return before and after volume-challenge were assessed by TTE. An increase of stroke volume ≥ 13% was considered as a volume-responder.

Conditions

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Anomaly; Venous Return

Keywords

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morbidly obese patients, preoperative volume-challenge, transthoracic echocardiography, TTE, rapid weight loss, venous return, bariatric surgery, left ventricular outflow tract, stroke volume, diastolic function, hypervolemia, hypovolemia

Study Design

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Observational Model Type

CASE_CROSSOVER

Study Time Perspective

PROSPECTIVE

Study Groups

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preoperative venous return optimizing

Morbidly obese patients scheduled for bariatric surgery

preoperative venous return optimizing

Intervention Type OTHER

Preoperative transthoracic echocardiography (TTE) was performed in the awake state before and after volume challenge based on 6ml colloids /kg ideal body weight.

Interventions

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preoperative venous return optimizing

Preoperative transthoracic echocardiography (TTE) was performed in the awake state before and after volume challenge based on 6ml colloids /kg ideal body weight.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* enrolled for bariatric surgery
* BMI ≥ 40 or ≥ 35kg/m2 with co-morbidities
* preoperative three-weeks preparation by rapid-weight-loss-diet and weight loss

Exclusion Criteria

* untreated significant hypertension
* unstable angina pectoris
* significant valve regurgitation or stenosis
* known severe pulmonary disease
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Umeå University

OTHER

Sponsor Role lead

Responsible Party

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Tomi Pösö

MD

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Tomi P Pösö, MD

Role: PRINCIPAL_INVESTIGATOR

Norrbotten county council, Umeå University

Locations

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Sunderby county hospital

Luleå, Norrbotten County, Sweden

Site Status

Countries

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Sweden

Other Identifiers

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09-042M

Identifier Type: -

Identifier Source: org_study_id