Pulse Pressure Variation Measured During Valsalva Maneuver to Predict Fluid Responsiveness Under Open-chest Condition

NCT ID: NCT02457572

Last Updated: 2015-09-14

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

55 participants

Study Classification

OBSERVATIONAL

Study Start Date

2014-10-31

Study Completion Date

2015-05-31

Brief Summary

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Pulse pressure variation (PPV) is a well-known dynamic preload indicator to predict fluid responsiveness. However, its usefulness in open-chest conditions has been equivocal. The investigators evaluated whether PPV measured during Valsalva maneuver can predict fluid responsiveness after sternotomy.

Detailed Description

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Conditions

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Cardiac Surgical Procedures Thoracic Surgical Procedures Sternotomy

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Valsalva maneuver

This is an observational study and as a diagnostic intervention, subjects in the study would receive valsalva maneuver. Valsalva maneuver was performed after sternotomy with the constant airway pressure of 30cmH2O for 2 breaths duration. The investigators perform this procedure to every patients and do not assign this intervention to the subjects of the study.

Valsalva maneuver

Intervention Type PROCEDURE

Valsalva maneuver was performed after sternotomy with the constant airway pressure of 30cmH2O for 2 breaths duration.

Fluid loading

Intervention Type OTHER

We record the cardiac index values before and after volume expansion with 6ml/kg of balanced crystalloid

Interventions

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Valsalva maneuver

Valsalva maneuver was performed after sternotomy with the constant airway pressure of 30cmH2O for 2 breaths duration.

Intervention Type PROCEDURE

Fluid loading

We record the cardiac index values before and after volume expansion with 6ml/kg of balanced crystalloid

Intervention Type OTHER

Other Intervention Names

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Lung recruitment maneuver Balanced crystalloid infusion

Eligibility Criteria

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Inclusion Criteria

\- Adult patients undergoing elective off-pump coronary arterial bypass grafting

Exclusion Criteria

* Preoperative LV EF \<= 35%
* Moderate or severe valvular heart disease
* Cardiac arrhythmia
* Intracardiac shunt
* Severe renal or liver disease
* Moderate to severe pulmonary hypertension (mean PAP \> 35 mmHg)
* Patients with bullous lung disease or combined pneumothorax
Minimum Eligible Age

20 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Samsung Medical Center

OTHER

Sponsor Role lead

Responsible Party

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Jong Hwan Lee

Assistant professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Samsung Medical Center

Seoul, , South Korea

Site Status

Countries

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South Korea

References

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Min JJ, Kim TK, Lee JH, Park J, Cho HS, Kim WS, Lee YT. Evaluation of augmented pulse pressure variation using the Valsalva manoeuvre as a predictor of fluid responsiveness under open-chest conditions: A prospective observational study. Eur J Anaesthesiol. 2017 May;34(5):254-261. doi: 10.1097/EJA.0000000000000613.

Reference Type DERIVED
PMID: 28207430 (View on PubMed)

Other Identifiers

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SMC 2014-07-005

Identifier Type: -

Identifier Source: org_study_id

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