Intraocular Pressure During Spine Surgery
The Effect of Lactated Ringer's Solution Versus Albumin and the Alpha-2 Agonist Brimonidine Versus Placebo on Intraocular Pressure During Prone Spine Surgery
1 other identifier
observational
60
1 country
1
Brief Summary
This study will compare the effect of two intravenous solutions on eye pressure during spine surgery in the following groups: Group A - Lactated Ringer's replacement for blood loss and placebo eye drops Group B - Lactated Ringer's replacement for blood loss and brimonidine eye drops Group C - Albumin replacement for blood loss and placebo eye drops Group D - Albumin replacement for blood loss and brimonidine eye drops
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for all trials
Started Dec 2007
Typical duration for all trials
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
December 1, 2007
CompletedFirst Submitted
Initial submission to the registry
January 2, 2008
CompletedFirst Posted
Study publicly available on registry
January 15, 2008
CompletedPrimary Completion
Last participant's last visit for primary outcome
February 1, 2010
CompletedStudy Completion
Last participant's last visit for all outcomes
February 1, 2010
CompletedFebruary 23, 2016
February 1, 2016
2.2 years
January 2, 2008
February 19, 2016
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
The primary outcome will be the maximum intraocular pressure at any time during surgery.
15 days post surgery
Secondary Outcomes (1)
Intraocular pressure as a function of surgical duration; Velocity of retrobulbar blood flow; Facial edema and or chemosis; Time to extubation; Duration of recovery Correlation between Dpp and FTc.
15 days post surgery
Study Arms (4)
A
Lactated Ringer's replacement for blood loss and placebo eye drops
B
Lactated Ringer's replacement for blood loss and brimonidine eye drops
C
Albumin replacement for blood loss and placebo eye drops;
D
Albumin replacement for blood loss and brimonidine eye drops
Eligibility Criteria
Patients undergoing spinal surgery in the prone position for at least 5 hours.
You may qualify if:
- Spine surgery with instrumentation in prone position expected to last at least 5 hours;
- Anticipated blood loss ≥ 1L
- Age 18-80 years old;
- ASA physical status I-III.
You may not qualify if:
- History of increased intraocular pressure or glaucoma;
- Diabetic retinopathy;
- Heart failure or serious left ventricular dysfunction;
- Abnormal preoperative fundus examination;
- Creatinine \> 2 mg/dL;
- Patient refuses blood transfusion or albumin administration
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Cleveland Clinic
Cleveland, Ohio, 44195, United States
Study Officials
- STUDY CHAIR
Daniel I Sessler, MD
The Cleveland Clinic
Study Design
- Study Type
- observational
- Observational Model
- COHORT
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
January 2, 2008
First Posted
January 15, 2008
Study Start
December 1, 2007
Primary Completion
February 1, 2010
Study Completion
February 1, 2010
Last Updated
February 23, 2016
Record last verified: 2016-02