Different Anesthetic Managements of Esophageal Resection and Reconstruction

NCT ID: NCT02961140

Last Updated: 2016-11-10

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

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-11-30

Study Completion Date

2019-11-30

Brief Summary

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Anesthetic management and fluid therapy is crucial in esophageal resection and reconstruction, which is associated with high incidence of postoperative morbidity and mortality. This study aims to investigate the effect of goal directed fluid management on the postoperative outcome of esophageal resection and reconstruction.

Detailed Description

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Anesthetic management and fluid therapy is crucial in esophageal resection and reconstruction, which is associated with high incidence of postoperative morbidity and mortality. Excessive fluid administration may result in pulmonary complication, while extremely hypovolemia may lead to shock, circulatory dysfunction, and renal damage. Little is known about fluid status will have impact on anastomotic leakage. Goal-directed fluid therapy has shown to benefit perioperative outcome in major abdominal surgery. This study aims to investigate the effect of goal directed fluid management on the postoperative outcome of esophageal resection and reconstruction.

Conditions

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Anesthesia Esophagus Cancer Postoperative Complications

Keywords

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Outcome

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Outcome Assessors

Study Groups

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Cardiac Output Maximization

maximize stroke volume, and maintain cardiac index and stroke volume variation during the whole operation

Group Type EXPERIMENTAL

Cardiac Output Maximization

Intervention Type OTHER

According to Frank-Starling law, the investigator will administer Voluven 6% 250 mL every 5 minute until stroke volume maximized (stabilized for 20 minutes), and maintain cardiac index and stroke volume variation during the whole operation.

Cardiac Output Normalization

keep cardiac index (CI) ≥ 2.2, and maintain CI and stroke volume variation during the whole operation

Group Type ACTIVE_COMPARATOR

Cardiac Output Normalization

Intervention Type OTHER

The investigator will administer intravenous fluids to keep cardiac index (CI) ≥ 2.2, and maintain CI and stroke volume variation during the whole operation.

Interventions

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Cardiac Output Maximization

According to Frank-Starling law, the investigator will administer Voluven 6% 250 mL every 5 minute until stroke volume maximized (stabilized for 20 minutes), and maintain cardiac index and stroke volume variation during the whole operation.

Intervention Type OTHER

Cardiac Output Normalization

The investigator will administer intravenous fluids to keep cardiac index (CI) ≥ 2.2, and maintain CI and stroke volume variation during the whole operation.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Patients diagnosed as esophageal cancer
* Scheduled for minimally invasive esophageal resection and reconstruction

Exclusion Criteria

* End-stage organ dysfunction, including heart failure, hepatic failure, renal failure
* Arrhythmia
* Pregnancy
Minimum Eligible Age

35 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Ministry of Science and Technology, Taiwan

OTHER_GOV

Sponsor Role collaborator

National Taiwan University Hospital

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Ya-jung Cheng, M.D., Ph.D

Role: PRINCIPAL_INVESTIGATOR

National Taiwan University Hospital

Central Contacts

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Ya-jung Cheng, M.D., Ph.D

Role: CONTACT

Phone: +886-2-23123456

Email: [email protected]

Other Identifiers

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201512052RINB

Identifier Type: -

Identifier Source: org_study_id