Unique ID issued by UMIN | UMIN000006484 |
---|---|
Receipt number | R000007694 |
Scientific Title | A study of appropriate fluid volume for resuscitation (evaluation of stroke volume variation under spontaneous respiration) |
Date of disclosure of the study information | 2011/10/05 |
Last modified on | 2014/07/18 16:49:50 |
A study of appropriate fluid volume for resuscitation (evaluation of stroke volume variation under spontaneous respiration)
A study of appropriate fluid volume for resuscitation
A study of appropriate fluid volume for resuscitation (evaluation of stroke volume variation under spontaneous respiration)
A study of appropriate fluid volume for resuscitation
Japan |
Patients with a decrease in effective intravascular volume; dehydration, hemorrhagic shock, septic shock, and so on)
Medicine in general | Surgery in general | Emergency medicine |
Others
NO
Firstly, we measure stroke volume variation (SVV) value when the stroke volume index dose not increase even on continuance of fluid resuscitation in the patients with spontaneous respiration . Secondary, we compare the value with the reported parameters for appropriate fluid resuscitation volume (for example, diameter of inferior vena cava, central venous pressure, lactate value, and so on). Finally, we evaluate the efficacy of measuring SVV for appropriate fluid resuscitation volume
Efficacy
No increasing of SVI under fluid resuscitation shows that the effective intravascular volume is achieved by fluid resuscitation. At this point, the following parameters are measured, vital signs, diameter of IVC, blood gas data, arterial lactate, ejection fraction, central venous pressure, ScvO2, and SVV value. We detect the best parameter for appropriate fluid resuscitation volume using receiving operating curve analysis.
Interventional
Single arm
Non-randomized
Open -no one is blinded
Uncontrolled
1
Diagnosis
Device,equipment |
Measuring invasive arterial blood pressure
15 | years-old | <= |
Not applicable |
Male and Female
1) ≥ 16 year-old
2) Patients with a decrease in effective intravascular volume and fluid resuscitation therapy ( hemorrhagic shock, dehydration, septic shock, and so on)
3) Patients with measuring invasive arterial blood pressure
1) Patients rejected intensive care management
2) Patients with terminal stage of malignant disease
3) Patients without informed consent
100
1st name | |
Middle name | |
Last name | Akiyoshi Hagiwara |
National center for global health and medicine
Emergency medicine and critical care
1-21-1 Toyama Shinjyuku^ku Tokyo Japan
03-3202-7181
ahagiwar@hosp.ncgm.go.jp
1st name | |
Middle name | |
Last name | Akiyoshi Hagiwara |
National center for global health and medicine
Emergency medicine and critical care
1-21-1 Toyama Shinjyuku^ku Tokyo Japan
03-3202-7181
ahagiwar@hosp.ncgm.go.jp
National center for global health and medicine
National center for global health and medicine
Self funding
NO
2011 | Year | 10 | Month | 05 | Day |
Unpublished
Patients (n= 37) with septic shock who were fitted with FloTrac sensor. The mean of lactate value, IVC diameters, SVV values during initial fluid resuscitation vs. "stable svv" were 6.0 vs.1.8 mmol/L, 11 vs. 19 mm and 18.6 vs.8.8%, respectively (p < 0.001). Fluctations in SVV curves calculated by fast Fourier transformation resulted in a Lorentzian spectrum. The amplitude of all curves peaked at frequency = 0 and became significantly lower when "SVV stable" than during fluid therapy (1.3 vs.3.7%; p < 0.001).
Completed
2011 | Year | 07 | Month | 20 | Day |
2011 | Year | 08 | Month | 01 | Day |
2013 | Year | 12 | Month | 01 | Day |
2013 | Year | 12 | Month | 01 | Day |
2013 | Year | 12 | Month | 01 | Day |
2011 | Year | 10 | Month | 05 | Day |
2014 | Year | 07 | Month | 18 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000007694