- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT01563991
Impact of Perioperative Intravenous Fluid Utilization on Postoperative Outcomes
March 28, 2017 updated by: Luca Stocchi, The Cleveland Clinic
Impact of Perioperative Intravenous Fluid Utilization on Postoperative Outcomes Following Elective Open Colorectal Surgery
Subjects undergoing surgery on the small or large bowel will be randomized to one of 2 groups, a normal fluid amount group and a reduced fluid amount group to evaluate the impact of this change on recovery after surgery.
Study Overview
Status
Completed
Conditions
Intervention / Treatment
Detailed Description
The purpose of this study is to evaluate the impact of reduction in the amount of perioperative fluids on postoperative morbidity, postoperative recovery and the duration of hospitalization.
The study will accrue patients undergoing elective open intestinal resection for benign and malignant conditions of the small and large bowel.
Patients, who consent to the study, will be randomized at the time of consent, preoperatively.
The primary study endpoint will a composite of mortality and major morbidity within the first 30 postoperative days.
Secondary endpoints will be return to bowel function (flatus or bowel movement), postoperative hospital stay including the day of surgery and a composite of minor complications.
Approximately 186 patients will participate in the study, 93 in each group.
Patients will be randomized into one of two groups: the Restricted Fluid Regimen group and the Normal Fluid Administration Regimen group.
A very specific flow chart for each group will be followed to distinguish the group.
A research nurse will collect the data needed for the study on a daily basis.
The patient will be managed by the primary surgeon and his team and the study group flow chart will be followed.
If for medical reasons, the patient's care needs to be varied from the study, this is allowed, and will be documented for the study purposes.
Study Type
Interventional
Enrollment (Actual)
186
Phase
- Not Applicable
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
-
-
Ohio
-
Cleveland, Ohio, United States, 44195
- Cleveland Clinic
-
-
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 and older (Adult, Older Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria:
- Patients 18 years or older
- ASA I-III
- Ability to provide informed consent
- Creatinine less than or equal to 1.3 mg/mL)
Exclusion Criteria:
Patients younger than 18 years old
- ASA IV or higher
- Urgent or emergent surgery
- Mental disease or addictive disorders impairing ability to provide informed consent
- Renal insufficiency (Cr greater than 1.3 mg/mL)
- Significant language barriers
- Cirrhosis causing ascites
- NYHA III or IV, EF less than 25%
- Use of intraoperative epidural anesthesia
- Uncontrolled diabetes
- Uncontrolled hypertension in the opinion of the enrolling surgeon
- ETOH consumption greater than 35 drinks weekly
- Cachexia or absolute neutrophil count of less than 1,200/mm3
- Existing uncontrolled coagulopathy or platelet count of less than 100,000/mm3
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 |
---|---|
Active Comparator: Standard fluid volume
Subject receives normal fluid volume during peri-operative period
|
Normal fluid group will receive lactated ringes at 8 cc / Kg/ hr total
|
Experimental: Reduced Fluid Volume
Subject receives a reduced fluid volume during the peri-operative period
|
Subject receives 80 cc/ hr LR during the peri-operative period
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Morbidity
Time Frame: 5-7 days
|
Reduction in post-operative complications at the time of hospital discharge after the surgical episode
|
5-7 days
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Investigators
- Principal Investigator: Lucci Stocchi, MD, The Cleveland Clinic
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
February 1, 2007
Primary Completion (Actual)
April 18, 2012
Study Completion (Actual)
April 18, 2012
Study Registration Dates
First Submitted
March 24, 2012
First Submitted That Met QC Criteria
March 26, 2012
First Posted (Estimate)
March 27, 2012
Study Record Updates
Last Update Posted (Actual)
March 30, 2017
Last Update Submitted That Met QC Criteria
March 28, 2017
Last Verified
March 1, 2017
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 07-016
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
No
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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