NIRS and DO2i Correlation

NCT ID: NCT03281707

Last Updated: 2017-09-13

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

Total Enrollment

50 participants

Study Classification

OBSERVATIONAL

Study Start Date

2017-09-30

Study Completion Date

2018-10-30

Brief Summary

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This study evaluates the association between near infrared spectroscopy (NIRS) and indexed oxygen delivery (DO2i) and their possible correlation with postoperative organ failure.

Detailed Description

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Literature evidences show that levels of DO2i under 262-272 mL/min/m2 during cardiopulmonary by-pass (CPB) are associated with an increased incidence of acute kidney injury (AKI).

Furthermore, it has been demonstrated that keeping a NIRS of 75-80% compared to the basal value reduces the risk of perioperative morbidity. On the other hand, a NIRS \< 50% of basal value seems to be predictive of an increase in morbidity.

All of those studies had been performed during CPB and knowledge lacks in management of DO2i and NIRS before and after CPB.

Conditions

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Multiorgan Failure Perfusion; Complications

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Interventions

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NIRS

NIRS devices patch will be applied on patients' head in order to measure the cerebral saturation of each cerebral emisphere

Intervention Type PROCEDURE

DO2i

Oxygen delivery standardized to the body surface area will be calculate in order to optimize tissue perfusion

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* All patients undergoing cardiac surgery with cardiopulmonary by-pass whose have been signed the consent informed

Exclusion Criteria

* Impossibilty to collect a correct continuous cardiac output measure with PiCCO (chronic atrial fibrillation or severe peripheral vasculopaty)
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Centro Cardiologico Monzino

OTHER

Sponsor Role lead

Responsible Party

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luca salvi

Anesthesia and ICU director

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Luca Salvi, MD

Role: PRINCIPAL_INVESTIGATOR

Centro Cardiologico Monzino

Central Contacts

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Luca Salvi, MD

Role: CONTACT

+390258002541

Matteo Nafi, MD

Role: CONTACT

+390258002879

References

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Ranucci M, Romitti F, Isgro G, Cotza M, Brozzi S, Boncilli A, Ditta A. Oxygen delivery during cardiopulmonary bypass and acute renal failure after coronary operations. Ann Thorac Surg. 2005 Dec;80(6):2213-20. doi: 10.1016/j.athoracsur.2005.05.069.

Reference Type RESULT
PMID: 16305874 (View on PubMed)

de Somer F, Mulholland JW, Bryan MR, Aloisio T, Van Nooten GJ, Ranucci M. O2 delivery and CO2 production during cardiopulmonary bypass as determinants of acute kidney injury: time for a goal-directed perfusion management? Crit Care. 2011 Aug 10;15(4):R192. doi: 10.1186/cc10349.

Reference Type RESULT
PMID: 21831302 (View on PubMed)

Nielsen HB, Borglum J. Cerebral oxygenation in heart surgery. Anesth Analg. 2007 Aug;105(2):537; author reply 538-9. doi: 10.1213/01.ane.0000265698.02800.d4. No abstract available.

Reference Type RESULT
PMID: 17646526 (View on PubMed)

Vincent JL, Moreno R, Takala J, Willatts S, De Mendonca A, Bruining H, Reinhart CK, Suter PM, Thijs LG. The SOFA (Sepsis-related Organ Failure Assessment) score to describe organ dysfunction/failure. On behalf of the Working Group on Sepsis-Related Problems of the European Society of Intensive Care Medicine. Intensive Care Med. 1996 Jul;22(7):707-10. doi: 10.1007/BF01709751. No abstract available.

Reference Type RESULT
PMID: 8844239 (View on PubMed)

Other Identifiers

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R627/17-CCM 662

Identifier Type: -

Identifier Source: org_study_id

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