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Haemodynamical Optimization During Brain Surgery

2019-10-09 09:21:32 | BioPortfolio

Summary

The decision to give fluids perioperatively could be based on methods used to identify preload responsiveness, either invasive or noninvasive estimates of stroke volume variation during mechanical ventilation. This study compares fluid management using invasive measurement SPV/PPV (Aisys GE) and noninvasive haemodynamic measurement (ClarSight, Edwards).

Description

The aim of the study is to optimise fluid management and to reduce perioperative risks during brain surgery. Adequate perioperative management guided by hemodynamic monitoring can help to reduce the risk of complications and thus potentially improve outcomes.

This study compares fluid management algorithms based either on invasive detection of fluid responsiveness using pulse pressure variation (PPV) and systolic pressure variation (SPV) values (Aisys GE monitoring system) in group A, or on noninvasive measurement of haemodynamics (stroke volume variation (SVV), cardiac index (CI) and systemic vascular resistance (SVR) values) (ClearSight, Edwards) in group B.

Study Design

Conditions

Brain Edema

Intervention

Hemodynamic management based on invasive fluid responsiveness parameters, Hemodynamic management based on noninvasive cardiac output and SVV measurement

Location

University Hospital Hradec Kralove
Hradec Kralove
Czechia
50005

Status

Recruiting

Source

University Hospital Hradec Kralove

Results (where available)

View Results

Links

Published on BioPortfolio: 2019-10-09T09:21:32-0400

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Medical and Biotech [MESH] Definitions

Compression of the heart by accumulated fluid (PERICARDIAL EFFUSION) or blood (HEMOPERICARDIUM) in the PERICARDIUM surrounding the heart. The affected cardiac functions and CARDIAC OUTPUT can range from minimal to total hemodynamic collapse.

The hemodynamic and electrophysiological action of the RIGHT ATRIUM.

The hemodynamic and electrophysiological action of the HEART ATRIA.

The hemodynamic and electrophysiological action of the right HEART VENTRICLE.

The hemodynamic and electrophysiological action of the HEART VENTRICLES.

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