- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04709627
enFlow IV Fluid and Blood Warming System
Verification of Clinical Utility: enFlow IV Fluid and Blood Warming System
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Eligible subjects from the study will be recruited from patients with scheduled surgeries. After being informed about the study and potential risks, patients given informed consent will undergo scheduled surgery with the use of enFlow IV Fluid and Blood Warming System. The following temperature measurements will be collected during surgery:
- Baseline temperature measurement (0-15 minutes prior to induction)
- Induction temperature measurements (15 minutes, 30 minutes, 60 minutes, 90 minute post-induction)
- Continued temperature measurements (every 30 minutes, plus end of surgery)
- OR ambient temperature at induction and end of surgery.
Temperature will be measured and collected post-surgery upon arrival to the PACU and 30 minutes post-arrival.
Study Type
Enrollment (Actual)
Contacts and Locations
Study Locations
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Helsinki, Finland, 00029 HUS
- Helsinki and Uusimaa Hospital District, Helsinki University Hospital
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Lappeenranta, Finland, 53130
- South Karelia Central Hospital (EKSOTE, ALTEK)
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Sampling Method
Study Population
Description
Inclusion Criteria:
- 18 years of age or older
- Patients requiring surgery expected to last at least 1 hour.
- Expectation of the perioperative need for at least one liter of infused fluids warmed during infusion
- Informed Consent
Exclusion Criteria:
- Recent history of fever (>38 C, within 24 hours of surgery)
- Active infection
- Pregnant women
- Terminal illness (<30 days)
- Intended use of cardiopulmonary bypass
- Clinical intention for perioperative cooling and hypothermia
- unavailability of esophageal measurement during surgery
- Attending physician does not believe participation of the patient is in their best interest.
Study Plan
How is the study designed?
Design Details
- Observational Models: Other
- Time Perspectives: Prospective
Cohorts and Interventions
Group / Cohort |
Intervention / Treatment |
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60 minute surgery
Patients completing at least 60 minutes of surgery
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The enFlow IV fluid/blood warming system's intended use is for warming blood, blood products and intravenous solutions prior to administration.
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Maintenance of intraoperative core temperature
Time Frame: 15 and 30 minutes post-induction, then every 30 minutes untl the termination of the scheduled surgical procedure, and a final measurement recorded at the time of termination of the scheduled surgical procedure.
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Core temperature is defined as the highest temperature reading during 30 seconds made within 5 minutes of protocol time.
The primary outcome measure will be the mean of the temperature measurements taken during the course of surgery
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15 and 30 minutes post-induction, then every 30 minutes untl the termination of the scheduled surgical procedure, and a final measurement recorded at the time of termination of the scheduled surgical procedure.
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Core temperature for two periods
Time Frame: Induction: first 90 minutes. Post-Induction: after 90 minutes until the end of surgery,
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The mean of the measurements taken during the Induction period and during the Post-Induction period.
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Induction: first 90 minutes. Post-Induction: after 90 minutes until the end of surgery,
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Number of hypothermic events
Time Frame: During 30 seconds made within 5 minutes of protocol time
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The incidence and duration of hypothermic events (<36.0C).
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During 30 seconds made within 5 minutes of protocol time
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Number of hyperthermic events
Time Frame: During 30 seconds made within 5 minutes of protocol time
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The incidence and duration of hyperthermic events (>38.0 oC).
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During 30 seconds made within 5 minutes of protocol time
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Incidence of infusate outside acceptable operating range (i.e., device "green range")
Time Frame: Induction: first 90 minutes. Post-Induction: after 90 minutes until the end of surgery,
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Device reading 35-42 oC
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Induction: first 90 minutes. Post-Induction: after 90 minutes until the end of surgery,
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Collaborators and Investigators
Sponsor
Collaborators
Investigators
- Principal Investigator: Mikko Lax, MD, Helsinki and Uusimaa Hospital District, Helsinki University Hospital
- Principal Investigator: Seppo Mustola, MD, PhD, South Karelia Central Hospital (EKSOTE, ALTEK), Dept. of Anesthesiology
Publications and helpful links
General Publications
- Campbell G, Alderson P, Smith AF, Warttig S. Warming of intravenous and irrigation fluids for preventing inadvertent perioperative hypothermia. Cochrane Database Syst Rev. 2015 Apr 13;2015(4):CD009891. doi: 10.1002/14651858.CD009891.pub2.
- National Institute of Health and Care Excellence (NICE). Hypothermia: prevention and management in adults having surgery Clinical guideline. Original Published: 23 April 2008. nice.org.uk/guidance/cg65 2019
- Pesonen E, Silvasti-Lundell M, Niemi TT, Kivisaari R, Hernesniemi J, Makinen MT. The focus of temperature monitoring with zero-heat-flux technology (3M Bair-Hugger): a clinical study with patients undergoing craniotomy. J Clin Monit Comput. 2019 Oct;33(5):917-923. doi: 10.1007/s10877-018-0227-z. Epub 2018 Nov 22.
- Makinen MT, Pesonen A, Jousela I, Paivarinta J, Poikajarvi S, Alback A, Salminen US, Pesonen E. Novel Zero-Heat-Flux Deep Body Temperature Measurement in Lower Extremity Vascular and Cardiac Surgery. J Cardiothorac Vasc Anesth. 2016 Aug;30(4):973-8. doi: 10.1053/j.jvca.2016.03.141. Epub 2016 Mar 22.
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- 100-P0093
- 30000000064) (Other Identifier: Vyaire Medical)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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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