Effect of Pneumatic Intermittent Venous Compression on Fluid Volumes Infused During Major Abdominal Surgery
Effect of Pneumatic Intermittent Venous Compression on Fluid Volumes Infused During Major Abdominal Surgery in Non-obese American Soceity of Anesthesiologists (ASA) 1-3 Patients
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Phase
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
Gard
-
Nîmes Cedex 09, Gard, France, 30029
- Centre Hospitalier Universitaire de Nîmes
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- The patient must have given his/her informed and signed consent
- The patient must be insured or beneficiary of a health insurance plan
- Patient with ASA score 1-3
- Body mass index < 30 kg/m^2
- Patient is schelduled for major abdominal surgery (laparotomy without risk of haemorrhage whose duration is assumed to be greater than 120 min)
- The patient passes from home, directly to the hospital, without schelduled hospitalization in another department
Exclusion Criteria:
- The patient is participating in another study
- The patient is in an exclusion period determined by a previous study
- The patient is under judicial protection, under tutorship or curatorship
- The patient refuses to sign the consent
- It is impossible to correctly inform the patient
- The patient is pregnant
- The patient is breastfeeding
- The patient has a contra-indication for treatment necessary for the study
- ASA score > 3
- body mass index > 30 kg/m^2
- Expected surgical time of < 120 minutes
- Surgery with risk of hemorrhage
- Surgery via celioscopy
- The surgery require perineal access, thus rendering any blinding impossible
- Hepatic surgery
- Contra indication for intermittent venous compression
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Prevention
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Double
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: With compression
The patients randomized to this group will have intermittent pneumatic venous compression of the lower limbs during surgery.
|
Intermittent pneumatic venous compression is applied to the lower limbs of patients during surgery.
|
|
Active Comparator: Without compression
The patients randomized to this group will not have intermittent pneumatic venous compression of the lower limbs during surgery.
(Standard care)
|
Intermittent pneumatic venous compression is not applied to the lower limbs of patients during surgery.
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Volume fluids (ml)
Time Frame: End of surgery (expected mean of 2 hours)
|
The total volume of infused fluids (Ringer's Lactate and HES) delivered to the patient during surgery (ml)
|
End of surgery (expected mean of 2 hours)
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Hypotensive episodes
Time Frame: end of surgery (expected mean of 2 hours)
|
The number of arterial hypotension episodes (systolic pressure < 90 mmHg)
|
end of surgery (expected mean of 2 hours)
|
|
VEGF
Time Frame: end of surgery (expected mean of 2 hours)
|
Concentration (pg/ml) of Vascular Endothelial Growth Factor (VEGF) in blood
|
end of surgery (expected mean of 2 hours)
|
|
sFlt1
Time Frame: end of surgery (expected mean of 2 hours)
|
Concentration (pg/ml) of soluble vascular endothelial growth factor receptor-1 (sFlt1) in blood
|
end of surgery (expected mean of 2 hours)
|
|
Hematocrit %
Time Frame: end of surgery (expected mean of 2 hours)
|
end of surgery (expected mean of 2 hours)
|
|
|
Albumin
Time Frame: end of surgery (expected mean of 2 hours)
|
Albuminemia (g/l)
|
end of surgery (expected mean of 2 hours)
|
|
Prothrombin (%)
Time Frame: end of surgery (expected mean of 2 hours)
|
Prothrombin rate in blood
|
end of surgery (expected mean of 2 hours)
|
|
Activated partial thromboplastin time
Time Frame: end of surgery (expected mean of 2 hours)
|
Activated partial thromboplastin time (seconds)
|
end of surgery (expected mean of 2 hours)
|
|
Presence/absence of POSSUM complications
Time Frame: 28 days
|
Presence/absence of complications as defined by the Physiological and Operative Severity Score for the Enumeration of Mortality and Morbidity (POSSUM) criteria
|
28 days
|
|
Days of hospitalization
Time Frame: 28 days
|
Length of hospitalization (days)
|
28 days
|
|
Number of days not in hospital
Time Frame: 28 days
|
Number of days not in hospital
|
28 days
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Damien Candela, MD, Centre Hospitalier Universitaire de Nîmes
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (Anticipated)
Primary Completion
Study Completion (Anticipated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Estimate)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Other Study ID Numbers
Other Study ID Numbers
- LOCAL/2011/DC-04
- 2011-A00800-41 (Other Identifier: RCB number)
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