NCT02700581

Brief Summary

The purpose of this study is to determine the difference in the impact of moderate positive end-expiratory pressure (PEEP) on hepatic venous flow Doppler in patients undergoing cardiac surgery: conventional versus protective ventilation strategy The possible changes in forward and backward flows (Doppler profiles) of hepatic venous flow at different degrees of PEEP in conventional and protective ventilation strategies are analyzed by using intraoperative transesophageal echocardiography (TEE) in patients undergoing cardiac surgery .

Trial Health

35
At Risk

Trial Health Score

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

Trial has exceeded expected completion date
Enrollment
15

participants targeted

Target at below P25 for not_applicable

Timeline
Completed

Started Mar 2016

Shorter than P25 for not_applicable

Status
unknown

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

February 23, 2016

Completed
7 days until next milestone

Study Start

First participant enrolled

March 1, 2016

Completed
6 days until next milestone

First Posted

Study publicly available on registry

March 7, 2016

Completed
25 days until next milestone

Primary Completion

Last participant's last visit for primary outcome

April 1, 2016

Completed
1 month until next milestone

Study Completion

Last participant's last visit for all outcomes

May 1, 2016

Completed
Last Updated

March 7, 2016

Status Verified

March 1, 2016

Enrollment Period

1 month

First QC Date

February 23, 2016

Last Update Submit

March 1, 2016

Conditions

Outcome Measures

Primary Outcomes (1)

  • forward hepatic venous flow

    Hepatic venous flow Doppler, cm/sec, by transesophageal echocardiography

    3 min after intervention

Secondary Outcomes (1)

  • reversed hepatic venous flow

    3 min after intervention

Study Arms (4)

low PEEP conventional ventilation

ACTIVE COMPARATOR

PEEP 2 mmHg tidal volume 10ml/kg

Procedure: low PEEP conventional ventilation

moderate PEEP conventional ventilation

EXPERIMENTAL

PEEP 7 mmHg tidal volume 10ml/kg

Procedure: moderate PEEP conventional ventilation

low PEEP protective ventilation

EXPERIMENTAL

PEEP 2 mmHg with tidal volume 6 ml/kg

Procedure: low PEEP protective ventilation

moderate PEEP protective ventilation

EXPERIMENTAL

PEEP 7 mmHg tidal volume 6ml/kg

Procedure: moderate PEEP protective ventilation

Interventions

low PEEP conventional ventilation
moderate PEEP conventional ventilation
low PEEP protective ventilation
moderate PEEP protective ventilation

Eligibility Criteria

Age19 Years - 65 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Patients undergoing cardiac surgery
  • Patients provide written informed consents

You may not qualify if:

  • Re-do or tri-do surgery
  • Patients with active infection
  • Patients with endocrine disease
  • Patients ischemic heart disease
  • patients with tricuspid valve regurgitation greater than mild degree

Contact the study team to confirm eligibility.

Sponsors & Collaborators

MeSH Terms

Conditions

Heart Valve Diseases

Condition Hierarchy (Ancestors)

Heart DiseasesCardiovascular Diseases

Central Study Contacts

Tae-Yop Kim, MD, PhD

CONTACT

Study Design

Study Type
interventional
Phase
not applicable
Allocation
NON RANDOMIZED
Masking
SINGLE
Who Masked
OUTCOMES ASSESSOR
Purpose
SUPPORTIVE CARE
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Professor of Anesthesiology

Study Record Dates

First Submitted

February 23, 2016

First Posted

March 7, 2016

Study Start

March 1, 2016

Primary Completion

April 1, 2016

Study Completion

May 1, 2016

Last Updated

March 7, 2016

Record last verified: 2016-03

Data Sharing

IPD Sharing
Will not share