Evaluation of the Effects of Fluid Therapy on Respiratory Mechanics

NCT ID: NCT02071524

Last Updated: 2016-11-08

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

UNKNOWN

Clinical Phase

NA

Total Enrollment

40 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-09-30

Study Completion Date

2017-04-30

Brief Summary

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The investigators hypothesize that large doses of fluids used during intraoperative could affect lung parenchyma structure and, consequently, gas exchange and respiratory mechanics. The purpose of this study is to evaluate fluids effects on oxygenation, respiratory mechanics, by using two different solutions: crystalloid or colloid.

Detailed Description

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Inclusion Criteria:

* patients undergoing elective abdominal, thoracic, vascular surgery
* minimum age 18 years
* informed consent

Exclusion Criteria:

* patients with severe cardiomyopathy or severe heart failure
* history of coagulation disorders
* patients with severe cardiovascular or respiratory disorders
* renal insufficiency

Respiratory mechanic parameters (i.e., inspiratory peak pressure, plateau pressure, total airway resistance, and static compliance) are obtained .Blood samples are drawn simultaneously from the arterial catheters for gas analysis. Data were collected after induction of anesthesia (T0) after 1 h (T1), 2 h (T2), 3 h (T3) and at the end of surgery.

Primary outcome: evaluate the fluids effects on oxygenation, respiratory mechanics

Secondary outcome: Incidence of surgery related complications

Conditions

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Mechanical Ventilation Complication Actual Impaired Fluid Volume

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

HEALTH_SERVICES_RESEARCH

Blinding Strategy

TRIPLE

Participants Investigators Outcome Assessors

Study Groups

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Cristalloid

group cristalloid (ringer lactate)

Group Type ACTIVE_COMPARATOR

Cristalloid administration

Intervention Type DRUG

Only Ringer Lactate administration

colloids

colloid: cristalloid in according to cardiac output

Group Type ACTIVE_COMPARATOR

Group Colloid

Intervention Type DRUG

Group Colloid: cristalloid 1:2 (gelofusine: ringer lactate)

Interventions

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Group Colloid

Group Colloid: cristalloid 1:2 (gelofusine: ringer lactate)

Intervention Type DRUG

Cristalloid administration

Only Ringer Lactate administration

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* patients undergoing elective abdominal, thoracic, vascular surgery
* minimum age 18 years
* informed consent

Exclusion Criteria

* patients with severe cardiomyopathy or severe heart failure
* history of coagulation disorders
* patients with severe cardiovascular or respiratory disorders
* renal insufficiency
* severe liver diseases
Minimum Eligible Age

18 Years

Maximum Eligible Age

85 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Università degli Studi di Ferrara

OTHER

Sponsor Role lead

Responsible Party

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Savino Spadaro

Researcher

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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University of Ferrara

Ferrara, , Italy

Site Status RECRUITING

Countries

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Italy

Central Contacts

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Savino Spadaro, researcher

Role: CONTACT

Phone: +390532206570

Email: [email protected]

Facility Contacts

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Carlo A Volta, professor

Role: primary

Other Identifiers

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22012014

Identifier Type: -

Identifier Source: org_study_id