IJV Sonogram VS Cardiometry in Fluid Responsiveness In CABG
NCT ID: NCT04618419
Last Updated: 2020-11-06
Study Results
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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COMPLETED
40 participants
OBSERVATIONAL
2019-05-10
2020-01-05
Brief Summary
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The secondary aim is to evaluate the ability of thoracic fluid content (TFC) measured by electrical cardiometry to be an additive value for the assessment of fluid responsiveness.
Detailed Description
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The IJV is, technically, much more easily accessible for sonographic visualization than the IVC, and measurement of the IJV does not require transesophageal echocardiography (TEE). Internal jugular vein distensibility index (IJVDI) has been studied in several studies but its reliability has not been well confirmed in patients during cardiac surgery.
This is a prospective observational study of adults undergoing coronary artery bypass graft surgery . The primary aim of the study is to assess the reliability of predicting fluid responsiveness in adults undergoing coronary artery bypass graft surgery using sonogram of the internal jugular vein for assessment of vessel distensibility in relation to stroke volume variation (SVV) measaured by electrical cardiometry.The secondary aim is to evaluate the ability of thoracic fluid content (TFC) measured by electrical cardiometry to be an additive value for the assessment of fluid responsiveness.
Volume responsiveness will be independently assessed by IJV sonogram and electrical cardiometry in following times
1. After induction of anesthesia.
2. After transfusing 6 ml / kg of hydroxyethyl starch (HES) 6% before sternotomy.
3. After closure of the sternum and transfusion of patient's blood.
4. Immediately before transferring the patient to ICU and stabilization of hemodynamic parameters by giving fluids needed to patient.
5. Immediately after transferring the patient to ICU and stabilization of hemodynamic parameters by giving fluids needed to patient.
6. After 2 hour of ICU admission.
7. Before weaning from mechanical ventilation Fluid responsiveness will be assessed by examining SVV with a threshold of the SVV = 12% allow discrimination between Responders and Non-responders
Conditions
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Keywords
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Study Design
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CASE_CONTROL
PROSPECTIVE
Interventions
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internal jugular vein distensibility index
It is a prospective observational clinical study to correlate hemodynamic monitoring between Electrical Cardiometry and internal jugular vein distensibility index by sonogram
Eligibility Criteria
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Inclusion Criteria
Exclusion Criteria
* Severely reduced preoperative left ventricular ejection fraction \< 40 %
* Significant cardiac arrhythmia.
* Significant valvular heart disease.
* Clinically evident pulmonary disease.
* Bilaterally inserted venous catheters (jugular or subclavian vein)
* History of radiotherapy or surgery of the neck region.
* Inability to obtain interpretable ultrasound images due to a difficult acoustic window.
18 Years
ALL
No
Sponsors
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Ahmed Abd El-Rahim Abd El-Hamid Hammad
OTHER
Responsible Party
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Ahmed Abd El-Rahim Abd El-Hamid Hammad
Residentat department of anaesthesia and surgical intensive Care
Locations
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Alexandria university
Alexandria, , Egypt
Countries
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References
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Aronson S, Nisbet P, Bunke M. Fluid resuscitation practices in cardiac surgery patients in the USA: a survey of health care providers. Perioper Med (Lond). 2017 Oct 19;6:15. doi: 10.1186/s13741-017-0071-6. eCollection 2017.
Ma GG, Hao GW, Yang XM, Zhu DM, Liu L, Liu H, Tu GW, Luo Z. Internal jugular vein variability predicts fluid responsiveness in cardiac surgical patients with mechanical ventilation. Ann Intensive Care. 2018 Jan 16;8(1):6. doi: 10.1186/s13613-017-0347-5.
Other Identifiers
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IJVDI and fluid responsiveness
Identifier Type: -
Identifier Source: org_study_id