Efficacy Study of Free Flap Monitoring Using Capillary Lactate and Glucose Measurements
Evaluation of Free Tissue Flaps Viability With Capillary Glucose and Lactate Measurements Compared With Clinical Examination
1 other identifier
interventional
31
1 country
4
Brief Summary
Evaluation of capillary glycaemia and lactataemia measurements for pedicle impairments diagnosis in free tissue transfers is realized. These measures are done after surgical reconstructions with free tissue flap, simultaneously with clinical examination. These biological data aren't available to make clinical diagnosis of complication; only clinical examination is allowed in this way. A posteriori, clinical and biological parameters will be compared in order to determine if capillary glycaemia and lactataemia measurements is a good procedure for free tissue flaps monitoring.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for not_applicable
Started Jan 2010
4 active sites
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
January 1, 2010
CompletedPrimary Completion
Last participant's last visit for primary outcome
September 1, 2011
CompletedStudy Completion
Last participant's last visit for all outcomes
September 1, 2011
CompletedFirst Submitted
Initial submission to the registry
September 30, 2011
CompletedFirst Posted
Study publicly available on registry
October 4, 2011
CompletedOctober 6, 2011
October 1, 2011
1.7 years
September 30, 2011
October 5, 2011
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Clinical examination of the flap
Clinical examination is done immediately after the end of the surgical procedure (Expected 1 to 5 hours after the end of arterial anastomosis). Then, examinations are done every hours for the first 24 hours, and every 4 hours for the next 4 days. The clinical examination was standardized: skin paddle colour and temperature, skin reperfusion time, and bleeding test with a prick. In order to avoid bias, examinations are performed by caregivers before capillary lactate and glucose measurements, and they hadn't any information about expected results of lactate and glucose values.
Beginning immediately after free flap surgical procedure. Realized 48 times during the 5 first postoperative days. Synchronous with capillary glucose and lactate measurements.
Secondary Outcomes (2)
Capillary lactate measurements
Beginning immediately after free flap surgical procedure. Realized 48 times during the 5 first postoperative days. Synchronous with capillary glucose measurements and clinical examinations.
Capillary glucose measurements
Beginning immediately after free flap surgical procedure. Realized 48 times during the 5 first postoperative days. Synchronous with capillary lactate measurements and clinical examinations.
Interventions
Capillary glucose and lactate measurement. Every hours for the first 24 hours, and every 4 hours for the next 4 days.
Eligibility Criteria
You may qualify if:
- Informed patient
- Signed informed consent
- Free tissue flap reconstruction
- Accessible flap for measurements
You may not qualify if:
- Pregnancy
- Patient under 18
- Unaccessible flap
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Narcisse Zwetyengalead
- Centre Hospitalier Universitaire de Besanconcollaborator
- Centre Hospitalier Universitaire, Amienscollaborator
Study Sites (4)
Department of Plastic reconstructive and Aesthetic Surgery. University Hospital Amiens
Amiens, 80000, France
Maxillo-Facial Surgery, Besancon Univestitary Hospital
Besançon, 25000, France
Orthopaedic, Traumatologic and Plastic Surgery Unit, Besancon Universitary Hospital
Besançon, 25000, France
Maxillo-Facial, Plastic and Reconstructive Surgery Unit, Centre Hospitalier Universitaire
Dijon, 21000, France
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- STUDY CHAIR
Benoit Henault, MD
Centre Hospitalier Universitaire Dijon
- PRINCIPAL INVESTIGATOR
Narcisse Zwetyenga, PhD
Centre Hospitalier Universitaire Dijon
- STUDY CHAIR
Julien Pauchot, MD
Centre Hospitalier Universitaire Dijon
- STUDY CHAIR
Raphaël Sinna, MD
Centre Hospitalier Universitaire, Amiens
- STUDY CHAIR
Christophe Meyer, PhD
Centre Hospitalier Universitaire, Besançon
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NA
- Masking
- SINGLE
- Who Masked
- CARE PROVIDER
- Purpose
- DIAGNOSTIC
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR INVESTIGATOR
- PI Title
- Head of Maxillo-Facial, Plastic and Reconstructive Surgery Unit
Study Record Dates
First Submitted
September 30, 2011
First Posted
October 4, 2011
Study Start
January 1, 2010
Primary Completion
September 1, 2011
Study Completion
September 1, 2011
Last Updated
October 6, 2011
Record last verified: 2011-10