Closed-loop Control Mean Arterial Pressure In Intensive Care Patients

NCT ID: NCT04357197

Last Updated: 2021-02-23

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

WITHDRAWN

Clinical Phase

NA

Study Classification

INTERVENTIONAL

Study Start Date

2020-09-25

Study Completion Date

2021-01-01

Brief Summary

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The purpose of this case series is to evaluate the performance of a novel closed-loop (automated) vasopressor administration system that delivers norepinephrine using feedback from standard hemodynamic monitor (EV1000 Monitor) from Edwards Lifesciences (IRVINE, USA) in critically ill patients

Detailed Description

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In this protocol, the investigators will report the percentage of case time in hypotension (defined as Mean arterial pressure (MAP) \< 72mmHg) during a two hours study protocol in critically ill patients.

The target MAP will be set at 80 mmHg, and the definition of hypotension is a MAP \< 90% of MAP target ( 80 mmHg - 10% = 72 mmHg)

The investigators want to demonstrate that the closed-loop system can prevent hypotension at this specific set point.

The investigators will test the system in a short series of 10-12 critically ill patients in the ICU setting during a two hours study protocol.

Participants will receive standard patient care

Fluids will be given as a baseline crystalloid administration set at 1-2 ml/kg/h

Conditions

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Cardiovascular Diseases

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Single prospective single center study
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Closed-loop

Closed-loop administration of norepinephrine in critically ill patients

Group Type EXPERIMENTAL

Closed-loop

Intervention Type DEVICE

The system will be tested to see if it can avoid hypotension

Interventions

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Closed-loop

The system will be tested to see if it can avoid hypotension

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* All patients in the intensive care unit (awake or under sedation)
* Requiring norepinephrine to maintain a MAP of 80 mmHg
* Equiped with an arterial line

Exclusion Criteria

* Subjects under 18 years of age
* Subject with Atrial Fibrillation
* Subjects who are pregnant
Minimum Eligible Age

18 Years

Maximum Eligible Age

99 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Erasme University Hospital

OTHER

Sponsor Role lead

Responsible Party

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Alexandre Joosten, MD PhD

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Alexandre Joosten, MD PhD

Role: PRINCIPAL_INVESTIGATOR

ERASME

Other Identifiers

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P2020-157

Identifier Type: -

Identifier Source: org_study_id

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