The Effect of Esophageal Doppler Guided Goal-directed Hemodynamic Therapy in Severe Trauma Patients
GDT
1 other identifier
observational
46
1 country
1
Brief Summary
Prospective randomized clinical trial Compare the goal-directed fluid therapy using esophageal Doppler and classic fluid therapy
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 Nov 2017
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
First Submitted
Initial submission to the registry
November 5, 2017
CompletedStudy Start
First participant enrolled
November 6, 2017
CompletedFirst Posted
Study publicly available on registry
November 13, 2017
CompletedPrimary Completion
Last participant's last visit for primary outcome
August 31, 2019
CompletedStudy Completion
Last participant's last visit for all outcomes
September 30, 2019
CompletedOctober 28, 2019
October 1, 2019
1.8 years
November 5, 2017
October 24, 2019
Conditions
Outcome Measures
Primary Outcomes (1)
Lactate
Unit is mmol/L Inclusion criteria is initial lactate \> 2mmol/L. Whole hospital use same device and unit to measure lactate. In this study, POCT lactate won't be used. After surgical resuscitation, lactate level is independent predictor of survival, because it represents tissue oxygenation.
Immediate postoperative (=initial ICU admission)
Secondary Outcomes (2)
Acute Physiology and Chronic Health Evaluation II (APACHE II) score
Immediate postoperative
Creatinine
Immediate postop
Study Arms (2)
control
Monitoring arterial pressure, central venous pressure and pulse pressure variation
esophagela Doppler
Monitoring arterial pressure, central venous pressure Insertion of esophageal Doppler probe to patient Monitoring stroke volume, cardiac output, corrected flow time from esophageal Doppler Use stroke volume optimization goal directed therapy protocol
Interventions
Goal directed fluid therapy using dynamic parameters from esophageal Doppler
Eligibility Criteria
Severe trauma patients : Injury severity score \> 15
You may qualify if:
- Severe trauma patients who undergo general anesthesia
- Initial serum lactate level \> 2mmol/L
You may not qualify if:
- Severe traumatic brain injury
- THoracic surgery
- Age \< 19 years old
- Impending arrest or post CPR state
- Severe facial trauma
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Ajou university school of medicine
Suwon, Gyeonggi-do, 16499, South Korea
MeSH Terms
Conditions
Study Officials
- PRINCIPAL INVESTIGATOR
In Kyong Yi, MD
Ajou University School of Medicine
Study Design
- Study Type
- observational
- Observational Model
- CASE CONTROL
- Time Perspective
- PROSPECTIVE
- Target Duration
- 3 Days
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Clinical assistant professor
Study Record Dates
First Submitted
November 5, 2017
First Posted
November 13, 2017
Study Start
November 6, 2017
Primary Completion
August 31, 2019
Study Completion
September 30, 2019
Last Updated
October 28, 2019
Record last verified: 2019-10
Data Sharing
- IPD Sharing
- Will not share