A New Non-invasive Marker to Detect Silent Hypoxia in Patients Undergoing Cardiac Surgery
The Somatic-to-cerebral Oxygen Saturation Gradient as a Non-invasive Index of Anaerobic Threshold in High-risk Cardiac Surgical Patient
1 other identifier
observational
60
1 country
1
Brief Summary
In patients undergoing cardiac surgery under cardiopulmonary bypass, some organs like brain and heart are preserved while others (skin, gut and skeletal muscle) are being underperfused. This phenomenon is related to silent peripheral vasoconstriction that is not clinically available but threatens end-organ perfusion and carries the risk of multi-organ failure. By measuring non-invasively the somatic-to-cerebral oxygen saturation gradient, the present study aims at detecting silent peroperative hypoperfusion episodes. The investigators hypothesize that gradient, measured during the surgical procedure, will predict the occurrence of anaerobic metabolism, ascertained by an elevation of blood lactate concentration, measured in intensive care unit.
Trial Health
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participants targeted
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Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
March 1, 2012
CompletedFirst Submitted
Initial submission to the registry
March 20, 2012
CompletedFirst Posted
Study publicly available on registry
March 22, 2012
CompletedMarch 22, 2012
March 1, 2012
March 20, 2012
March 21, 2012
Conditions
Study Arms (1)
High-risk cardiac surgery patient
Interventions
Eligibility Criteria
Patients undergoing cardiac surgical procedures under cardiopulmonary bypass in Strasbourg University Hospital
You may qualify if:
- Age \> 18 yo
- Cardiac surgical procedure under cardiopulmonary bypass
- High-risk surgical patient fulfilling one of the following items:
- Euroscore \>= 6
- Ejection fraction \< 40%
- Creatinine clearance \< 40mL/min
- Pulmonary arterial pressure \> 45mmHg
- Signed informed consent
- Social security affiliation
You may not qualify if:
- Emergency situation
- Patient on ECMO
- Pregnancy or lactation
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Pôle d'anesthésie réanimation - Nouvel Hôpital Civil
Strasbourg, France
MeSH Terms
Interventions
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Julien POTTECHER, MD
University Hospital, Strasbourg, France
Central Study Contacts
Study Design
- Study Type
- observational
- Observational Model
- CASE ONLY
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
March 20, 2012
First Posted
March 22, 2012
Study Start
March 1, 2012
Last Updated
March 22, 2012
Record last verified: 2012-03