Operative Hemodynamic Optimization Using the Plethysmographic Variability Index During Orthopedic Surgery (OPVI)

May 14, 2019 updated by: University Hospital, Caen

Operative Hemodynamic Optimization Using the Plethysmographic Variability Index During Orthopedic Surgery : a Multicentric Prospective Randomized Controlled Study

The purpose of this study is to determine whether an operative hemodynamic optimization using the plethysmographic variability index during orthopedic surgery could decrease the length of hospital stay and the postoperative morbidity.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Study Type

Interventional

Enrollment (Actual)

440

Phase

  • Phase 3

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

  • France
      • Caen, France, 14 000
        • Caen University Hospital

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:

  • Age > 18 years
  • Indication to a knee or hip arthroplasty under general anesthesia
  • Sinusal rhythm

Non Inclusion Criteria:

  • Pregnant women
  • Black skin
  • Dialysis
  • Cardiac arrythmia
  • Sepsis
  • Use of another hemodynamic monitoring during surgery

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: Double

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Other: PVI group
Fluid optimisation using PVI
Device: Plethysmographic variability index
No Intervention: Control group
Standard care using a hemodynamic protocol during general anesthesia

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Length of hospital stay after knee or hip arthroplasty
Time Frame: Real length of hospital stay expressed as number of day (maximum 60 days)
Surgeons, blinded to the group allocation, are the postoperative care providers who decide the length of hospital stay.
Real length of hospital stay expressed as number of day (maximum 60 days)

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Troponin value
Time Frame: Postoperative Day 1 and Day 3
Postoperative Day 1 and Day 3
Creatinine value
Time Frame: Postoperative Day 1 and Day 3
Postoperative Day 1 and Day 3
Arterial Lactate
Time Frame: 1 hour after end of surgery
1 hour after end of surgery
Postoperative cardiac complications
Time Frame: Participants will be followed for the duration of hospital stay, an expected average of 1 week, until postoperative day 60
Participants will be followed for the duration of hospital stay, an expected average of 1 week, until postoperative day 60
Theorical length of hospital stay after knee or hip arthroplasty
Time Frame: Theorical length of hospital stay expressed as number of day (maximum 60 days)
Evaluation twice per day starting day 3 until up day 60. A check list was used by an independant investigator to define the theorical date of end hospitalisation, from day 3 until day 60
Theorical length of hospital stay expressed as number of day (maximum 60 days)

Other Outcome Measures

Outcome Measure
Time Frame
Medico economic evaluation
Time Frame: Participants will be followed for the duration of hospital stay, an expected average of 1 week, until postoperative day 60
Participants will be followed for the duration of hospital stay, an expected average of 1 week, until postoperative day 60

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

University Hospital, Caen

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

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 (Actual)

February 1, 2015

Primary Completion (Actual)

February 1, 2017

Study Completion (Actual)

November 1, 2017

Study Registration Dates

First Submitted

June 17, 2014

First Submitted That Met QC Criteria

July 31, 2014

First Posted (Estimate)

August 4, 2014

Study Record Updates

Last Update Posted (Actual)

May 15, 2019

Last Update Submitted That Met QC Criteria

May 14, 2019

Last Verified

May 1, 2019

More Information

Terms related to this study

Other Study ID Numbers

  • 2014-A00330-47

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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