- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT00542516
Comparison Between Two Techniques of Volemic Expansion in Hip Replacement Arthroplasty
February 18, 2009 updated by: University of Sao Paulo
Comparison Between Two Techniques of Volemic Expansion in Hip Replacement Arthroplasty: Hydroxyethyl Starch Versus Ringer's Lactate
Currently the most use solution to volemic reposition in hip replacement arthroplasty is the crystalloid solution.
This trial intends to compare two different volemic replacements: HES and Ringer's lactate.
This research has been analyzing hemodynamic parameters and the coagulation status before and after the pre-expansion with the solutions above mentioned.
Study Overview
Status
Completed
Conditions
Intervention / Treatment
Detailed Description
This trial is randomized an blind to the physician who is analyzing the results.It has been select adults; both sex; ASA I and II.
These patients must be submitted to hip arthroplasty replacement.
The anesthesia technique is single shot spinal anesthesia.
Primary endpoint: assessment alternative; technique replacement volemic with HES 130/04.
Secondary endpoint: haemostatic abnormalities; blood loss; transfusion blood.
Study Type
Interventional
Enrollment (Actual)
48
Phase
- Phase 4
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
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São Paulo, Brazil, 05403-010
- Institute of Orthopedics and Traumatology of HCFMUSP
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Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
18 years to 75 years (Adult, Older Adult)
Accepts Healthy Volunteers
Yes
Genders Eligible for Study
All
Description
Inclusion Criteria:
- Patients involved: adults, ASA I and II;
- Surgery: hip replacement arthroplasty.
Exclusion Criteria:
- Allergy starch;
- Anemia;
- Dysfunction renal;
- Heart insufficiency;
- Morbid obesity.
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: HES 130/04
Pre-expansion with HES
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Dosage: 30ml/kg; frequency: one time; duration: 60min
Other Names:
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Active Comparator: Ringer's lactate
Pre-expansion with Ringer's lactate
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Dosage: 30ml/kg; frequency: one time; duration: 60min
Other Names:
Dosage: 30ml/kg; frequency: one time; duration: 60min.After 10ml-kg-h both groups
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
HES expansion plasmatic efficacy
Time Frame: 24 hours
|
24 hours
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Secondary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Blood transfusion
Time Frame: 24 hours
|
24 hours
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Haemostatic alterations
Time Frame: 24 hours
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24 hours
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Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Investigators
- Study Chair: José Otávio C Auler Junior, PhD/Chairman, Hospital das Clínicas - Medicine School of the University of São Paulo
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
General Publications
- Langeron O, Doelberg M, Ang ET, Bonnet F, Capdevila X, Coriat P. Voluven, a lower substituted novel hydroxyethyl starch (HES 130/0.4), causes fewer effects on coagulation in major orthopedic surgery than HES 200/0.5. Anesth Analg. 2001 Apr;92(4):855-62. doi: 10.1097/00000539-200104000-00011.
- Gallandat Huet RC, Siemons AW, Baus D, van Rooyen-Butijn WT, Haagenaars JA, van Oeveren W, Bepperling F. A novel hydroxyethyl starch (Voluven) for effective perioperative plasma volume substitution in cardiac surgery. Can J Anaesth. 2000 Dec;47(12):1207-15. doi: 10.1007/BF03019870.
- Haisch G, Boldt J, Krebs C, Kumle B, Suttner S, Schulz A. The influence of intravascular volume therapy with a new hydroxyethyl starch preparation (6% HES 130/0.4) on coagulation in patients undergoing major abdominal surgery. Anesth Analg. 2001 Mar;92(3):565-71. doi: 10.1097/00000539-200103000-00003.
- Jungheinrich C, Scharpf R, Wargenau M, Bepperling F, Baron JF. The pharmacokinetics and tolerability of an intravenous infusion of the new hydroxyethyl starch 130/0.4 (6%, 500 mL) in mild-to-severe renal impairment. Anesth Analg. 2002 Sep;95(3):544-51, table of contents. doi: 10.1097/00000539-200209000-00007.
- Boldt J, Suttner S. Plasma substitutes. Minerva Anestesiol. 2005 Dec;71(12):741-58.
- Mielke LL, Entholzner EK, Kling M, Breinbauer BE, Burgkart R, Hargasser SR, Hipp RF. Preoperative acute hypervolemic hemodilution with hydroxyethylstarch: an alternative to acute normovolemic hemodilution? Anesth Analg. 1997 Jan;84(1):26-30. doi: 10.1097/00000539-199701000-00005.
- Gandhi SD, Weiskopf RB, Jungheinrich C, Koorn R, Miller D, Shangraw RE, Prough DS, Baus D, Bepperling F, Warltier DC. Volume replacement therapy during major orthopedic surgery using Voluven (hydroxyethyl starch 130/0.4) or hetastarch. Anesthesiology. 2007 Jun;106(6):1120-7. doi: 10.1097/01.anes.0000265422.07864.37.
- Otsuki DA, Fantoni DT, Margarido CB, Marumo CK, Intelizano T, Pasqualucci CA, Costa Auler JO Jr. Hydroxyethyl starch is superior to lactated Ringer as a replacement fluid in a pig model of acute normovolaemic haemodilution. Br J Anaesth. 2007 Jan;98(1):29-37. doi: 10.1093/bja/ael312. Epub 2006 Nov 26.
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start
September 1, 2006
Study Completion (Actual)
November 1, 2008
Study Registration Dates
First Submitted
October 2, 2007
First Submitted That Met QC Criteria
October 9, 2007
First Posted (Estimate)
October 11, 2007
Study Record Updates
Last Update Posted (Estimate)
February 19, 2009
Last Update Submitted That Met QC Criteria
February 18, 2009
Last Verified
February 1, 2009
More Information
Terms related to this study
Other Study ID Numbers
- HC524/04
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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