Direct Peritoneal Resuscitation for Intra-abdominal Catastrophes

NCT ID: NCT05208489

Last Updated: 2022-01-26

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

108 participants

Study Classification

OBSERVATIONAL

Study Start Date

2021-12-16

Study Completion Date

2023-06-30

Brief Summary

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It is a retrospective study. Patients, who presented with either traumatic or general surgery emergencies, undergone exploratory laparotomy, had an open abdomen management and received Direct Peritoneal Resuscitation in addition to standard resuscitation will be considered as meeting the criteria to collect the data.

Detailed Description

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Due to the high volume of patient transfers from different facilities with difficult intra-abdominal pathologies and the high case-mix index at Westchester Medical Center, we see many patients who require re-operations and open abdominal management. Since July1st of 2020 we have been using DPR in addition to standard iv fluids on all patients who undergo open abdominal management and it is now standard of care at our facility. we plan to collect the data from all qualified subjects who received DRP since 7/1/2020 to 6/30/2022.

Conditions

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Intestinal Perforation Intestinal Obstruction Trauma Abdomen

Study Design

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Observational Model Type

COHORT

Study Time Perspective

RETROSPECTIVE

Interventions

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there is no intervention involved in this study

there is no intervention involved in this study.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Adult patients 18 years of age or older.
* Trauma or General surgery patients who undergo emergency abdominal surgery via laparotomy and who had open abdominal management during the index procedure at our institution.
* Patients who are transferred to our institution with an already open abdomen will also be eligible if they required continued open abdominal management.

Exclusion Criteria

* Patients \<18 years are excluded.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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New York Medical College

OTHER

Sponsor Role lead

Responsible Party

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Kartik Prabhakaran

Trauma Medical Director

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Kartik Prabhakaran, MD

Role: PRINCIPAL_INVESTIGATOR

New York Medical College

Locations

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New York Medical College

Valhalla, New York, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Anuritha Tirumani, MBBS

Role: CONTACT

914-493-3470

Abbas Smiley, MD

Role: CONTACT

914-493-3470

Facility Contacts

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Anuritha Tirumani

Role: primary

914-493-3470

Abbas Smiley, MD

Role: backup

914-493-3470

References

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Smith JW, Garrison RN, Matheson PJ, Franklin GA, Harbrecht BG, Richardson JD. Direct peritoneal resuscitation accelerates primary abdominal wall closure after damage control surgery. J Am Coll Surg. 2010 May;210(5):658-64, 664-7. doi: 10.1016/j.jamcollsurg.2010.01.014.

Reference Type BACKGROUND
PMID: 20421025 (View on PubMed)

Zakaria el R, Hurt RT, Matheson PJ, Garrison RN. A novel method of peritoneal resuscitation improves organ perfusion after hemorrhagic shock. Am J Surg. 2003 Nov;186(5):443-8. doi: 10.1016/j.amjsurg.2003.07.006.

Reference Type RESULT
PMID: 14599604 (View on PubMed)

Crafts TD, Hunsberger EB, Jensen AR, Rescorla FJ, Yoder MC, Markel TA. Direct peritoneal resuscitation improves survival and decreases inflammation after intestinal ischemia and reperfusion injury. J Surg Res. 2015 Dec;199(2):428-34. doi: 10.1016/j.jss.2015.06.031. Epub 2015 Jun 18.

Reference Type RESULT
PMID: 26169030 (View on PubMed)

Other Identifiers

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14677

Identifier Type: -

Identifier Source: org_study_id

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