NCT02276599

Brief Summary

This study is designed to investigate the ability of pleth variability index (PVI) to non-invasively predict fluid responsiveness in mechanically ventilated children. Patients undergoing atrial septal defect (ASD) repair in the cardiac catheterization suite will be recruited for this study. These patients are ideal candidates because very few deviations will be made from standard clinical practice. All patients will already be under general anesthesia, mechanically ventilated, monitored with pulse oximetry, and provided with intravenous fluid to compensate for their nil per os (NPO) fluid deficit. The only deviation from clinical practice will include an abbreviated echocardiographic exam, application of the Masimo pulse oximeter, and measurement of CO via a thermodilution catheter by the interventional cardiologist.

Trial Health

57
Monitor

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
9

participants targeted

Target at below P25 for all trials

Timeline
Completed

Started Feb 2015

Typical duration for all trials

Geographic Reach
1 country

1 active site

Status
terminated

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

First Submitted

Initial submission to the registry

October 23, 2014

Completed
5 days until next milestone

First Posted

Study publicly available on registry

October 28, 2014

Completed
3 months until next milestone

Study Start

First participant enrolled

February 1, 2015

Completed
2.4 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

July 7, 2017

Completed
11 months until next milestone

Study Completion

Last participant's last visit for all outcomes

May 31, 2018

Completed
Last Updated

October 18, 2018

Status Verified

October 1, 2018

Enrollment Period

2.4 years

First QC Date

October 23, 2014

Last Update Submit

October 17, 2018

Conditions

Outcome Measures

Primary Outcomes (1)

  • Change in Pleth Variability Index

    Change in Pleth Variability Index following fluid bolus of 0.9% normal saline 10 mL/kg over 10 minutes, measured by Masimo Radical-7 monitor.

    10 minutes

Secondary Outcomes (2)

  • Change in Cardiac Output

    10 minutes

  • Change in Stroke Volume

    10 mins

Study Arms (1)

Cardiac catheterization

Patients with a diagnosis of atrial septal defect who are having a cardiac catheterization.

Procedure: Volume expansion

Interventions

Fluid bolus of 0.9% normal saline 10 mL/kg over 10 minutes

Cardiac catheterization

Eligibility Criteria

Age1 Year - 12 Years
Sexall
Healthy VolunteersNo
Age GroupsChild (0-17)
Sampling MethodNon-Probability Sample
Study Population

Children undergoing cardiac catheterization for atrial septal defect.

You may qualify if:

  • Children undergoing cardiac catheterization who will have normal (non-shunted) physiology at the conclusion of the procedure.

You may not qualify if:

  • Patients with additional congenital heart abnormalities, cardiac arrhythmias, ventricular dysfunction, and known pulmonary disease.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Nationwide Children's Hospital

Columbus, Ohio, 43205, United States

Location

MeSH Terms

Conditions

Heart Septal Defects, Atrial

Condition Hierarchy (Ancestors)

Heart Septal DefectsHeart Defects, CongenitalCardiovascular AbnormalitiesCardiovascular DiseasesHeart DiseasesCongenital AbnormalitiesCongenital, Hereditary, and Neonatal Diseases and Abnormalities

Study Officials

  • Brian Schloss, MD

    Nationwide Children's Hospital

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
observational
Observational Model
CASE ONLY
Time Perspective
PROSPECTIVE
Sponsor Type
OTHER
Responsible Party
SPONSOR INVESTIGATOR
PI Title
Assistant Professor

Study Record Dates

First Submitted

October 23, 2014

First Posted

October 28, 2014

Study Start

February 1, 2015

Primary Completion

July 7, 2017

Study Completion

May 31, 2018

Last Updated

October 18, 2018

Record last verified: 2018-10

Locations