Unique ID issued by UMIN | UMIN000030734 |
---|---|
Receipt number | R000030578 |
Scientific Title | Assesment of the body water distribution after esophagectomy using Bioelectrical Impedance Analysis(BIA) device and FloTrac system |
Date of disclosure of the study information | 2018/01/09 |
Last modified on | 2019/09/21 14:45:30 |
Assesment of the body water distribution after esophagectomy using Bioelectrical Impedance Analysis(BIA) device and FloTrac system
Assesment of the body water distribution after esophagectomy using BIA device and FloTrac system
Assesment of the body water distribution after esophagectomy using Bioelectrical Impedance Analysis(BIA) device and FloTrac system
Assesment of the body water distribution after esophagectomy using BIA device and FloTrac system
Japan |
Esophageal cancer
Gastrointestinal surgery |
Malignancy
NO
During the perioperative phase of esophagectomies, cardiovascular or respiratory adverse events occur to some extent due to the changes in the distribution of body water, which makes the positoperative fluid management more important. The aim of this study is to evaluate the utilities of a Bioelectrical Impedance (BIA) device and the FloTrac system for estimating the body water distribution and the circulatory dynamics after esophageal surgeries.
Efficacy
Exploratory
Comparison between the estimated dates of the fluid retention by the traditional judging methods(negative water balance in record-based calculation, decrease in body weight) and the date estimated by the peak in each maker of Bioelectrical Impedance Analysis(BIA) measured on admission day and from postoperative 0 to 7days, or of FloTrac systems measured postoperatively.
1) Correlation between the marker trends in BIA or FloTrac system and the trends in blood markers(Hb,Hct,Alb,BUN/Cre,CRP)or urinary osmolarity.
2) Correlation between the postoperative courses (adverse events, length of ICU stay, length of hospital stay) and the levels of BIA or FloTrac markers at postoperative specific timing.
3) Difference in BIA or FloTrac marker peaks among different esophageal surgical procedures.
Interventional
Single arm
Non-randomized
Open -no one is blinded
Uncontrolled
YES
NO
1
Diagnosis
Device,equipment |
1) Preoperative BIA measurement after admission(~5 minutes).
2) Anaestheologists insert the peripheral arterial catheter during the esophagectomy and connect to the FloTrac system (intraoperative procedure).
3) BIA measurement at 1 hour after the surgery(~5min). FloTrac markers at the same time are also recorded (automatically).
4) From postoperative day 1 to 7, BIA measurements are perfomed at i)every 10:00 and 18:00(twice/day) or ii) every 12:00(once/day). Will take ~5 minutes each time.
5) From postoperative day 1, FloTrac markers are monitored continuously until the patients discharged from ICU. Each markers are recorded prospectively at every 02:00,10:00,18:00.
6) Urinary samples are submitted to check the osmolarity and the blood sugar from postoperative day 1 to 7 (~5 minutues each time).
7) Postoperative blood samplings, vital signs measurements, calculations of the body water balance are also performed only within routine postoperative managements (not specific for the present study).
20 | years-old | <= |
Not applicable |
Male and Female
Patients who meets all of the conditions below are included in the study.
1) Who are to receive esophagectomy for esophageal cancer at University of Tokyo Hospital.
2) Agreed to participate in the study in documents.
Patients who meets any of the conditions below are excluded from the study.
1) Those under 20 years old.
2) Those with heart pacemakers.
3) Those with preoperatively diagnosed heart failure or respiratory failure.
4) Those who cannnot use electrodes for BIA devices due to allergic reactions or dermatological problems.
5) Those who cannot keep the supine position during the measurements due to psychological or other factors.
6) Those who meet the contraindication criteria described in the manuals of BIA device (MLT-550N) or FloTrac system.
7) Those who have ineligibility judged by the researchers of the study.
200
1st name | Yasuyuki |
Middle name | |
Last name | Seto |
Graduate School of Medicine, University of Tokyo
Gastrointestinal Surgery
113-8655,
7-3-1 Hongo, Bunkyo-ku, Tokyo 113-8655, Japan
03-3815-5411
seto-tky@umin.ac.jp
1st name | Shuichiro |
Middle name | |
Last name | Oya |
Graduate School of Medicine, University of Tokyo
Gastrointestinal Surgery
113-8655
7-3-1 Hongo, Bunkyo-ku, Tokyo 113-8655, Japan
03-3815-5411
OYAS-SUR@h.u-tokyo.ac.jp
University of Tokyo
Department of Gastrointestinal Surgery, Graduate School of Medicine, University of Tokyo
Self funding
Ethical comittee of the University of Tokyo
7-3-1 Hongo, Bunkyo-ku, Tokyo 113-8655, Japan
03-5841-3557
ethics@m.u-tokyo.ac.jp
NO
2018 | Year | 01 | Month | 09 | Day |
Unpublished
Enrolling by invitation
2017 | Year | 04 | Month | 10 | Day |
2017 | Year | 05 | Month | 12 | Day |
2017 | Year | 06 | Month | 01 | Day |
2019 | Year | 12 | Month | 31 | Day |
2018 | Year | 01 | Month | 09 | Day |
2019 | Year | 09 | Month | 21 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000030578