Tight Closed-loop Systolic Arterial Pressure Control
Tight Systolic Arterial Pressure Control Using a Closed-loop System for Vasopressor Infusion in Patients Undergoing High-risk Abdominal Surgery: A Proof-of-Concept Study
1 other identifier
interventional
12
1 country
1
Brief Summary
The purpose of this case series is to evaluate the performance of a novel closed-loop (automated) vasopressor administration system that delivers norepinephrine using feedback from standard operating room hemodynamic monitoring (EV1000 monitoring device, Edwards Lifesciences, Irvine, USA).
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for not_applicable cardiovascular-diseases
Started Sep 2020
Shorter than P25 for not_applicable cardiovascular-diseases
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
April 19, 2020
CompletedFirst Posted
Study publicly available on registry
April 22, 2020
CompletedStudy Start
First participant enrolled
September 25, 2020
CompletedPrimary Completion
Last participant's last visit for primary outcome
October 30, 2020
CompletedStudy Completion
Last participant's last visit for all outcomes
October 30, 2020
CompletedMarch 15, 2021
March 1, 2021
1 month
April 19, 2020
March 11, 2021
Conditions
Outcome Measures
Primary Outcomes (1)
Percentage of case Time in hypotension (SAP <117 mmHg)
The primary outcome will be the percentage of case time in predefined SAP target (SAP of 130 mmHg -10 % = 117 mmHg)
At postoperative day 1
Secondary Outcomes (3)
Amount of vasopressors received
At postoperative day 1
Number of vasopressors infusion rate modifications
At postoperative day 1
Percentage of case time with a MAP < 65 mmHg
At postoperative day 1
Study Arms (1)
Closed-loop
EXPERIMENTALClosed-loop administration of norepinephrine
Interventions
The system will adjust the norepineprhine infusion rate based on a target SAP of 130 mmHg in 20 patients
Eligibility Criteria
You may qualify if:
- Adult patients (age of \>17)
- Elective high-risk abdominal surgery
- Patients with an arterial line and in whom a goal directed fluid therapy protocol is applied manually (administration of fluid bolus to maintain a stroke volume variation \< 13%)
You may not qualify if:
- Atrial Fibrillation
- Pregnancy
- Subjects without the capacity to give informed consent
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Erasme
Brussels, 1070, Belgium
MeSH Terms
Conditions
Study Officials
- PRINCIPAL INVESTIGATOR
Alexandre Joosten, MD PhD
ERASME
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NA
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Principal Investigator
Study Record Dates
First Submitted
April 19, 2020
First Posted
April 22, 2020
Study Start
September 25, 2020
Primary Completion
October 30, 2020
Study Completion
October 30, 2020
Last Updated
March 15, 2021
Record last verified: 2021-03