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| ID | Type | Description | Link |
|---|---|---|---|
| EA1/315/12 | Other Identifier | ethics commitee |
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| Name | Class |
|---|---|
| Edwards Lifesciences | INDUSTRY |
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Several studies have demonstrated that goal-directed fluid therapy during high- risk-surgery reduces morbidity and length of hospital stay. This quality improvement is design to evaluate the implementation of an intraoperative goal-directed therapy, using a pulse contour analysis monitor to optimize the stroke volume, in patients undergoing redo-hip-surgery. The primary combined endpoints will be the incidence of postoperative complications and the secondary endpoints will be the decrease of hospital length of stay, length of ICU stay and hospital postoperative mortality. We amended another 130 patients getting crystalloid fluids in the hemodynamic optimization protocol.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Standard care | No Intervention | No specific hemodynamic optimization measures | |
| Hemodynamic optimization | Experimental | Hemodynamic optimization by stroke volume monitoring |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Stroke volume monitoring | Device | Pulse contour stroke volume monitoring |
|
| Measure | Description | Time Frame |
|---|---|---|
| postoperative complications | 30days |
| Measure | Description | Time Frame |
|---|---|---|
| length of hospital and ICU stay | 30days |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Sascha Treskatsch, MD | Department of Anesthesiology and Operative Intensive Care Medicine, CCM and CVK | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Department of Anesthesiology and Intensive Care Medicine Campus Charité Mitte / Campus Virchow-Klinikum | Berlin | 10117 | Germany |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 37024966 | Derived | Trauzeddel RF, Leitner M, Dehe L, Nordine M, Piper SK, Habicher M, Sander M, Perka C, Treskatsch S. Goal-directed fluid therapy using uncalibrated pulse contour analysis and balanced crystalloid solutions during hip revision arthroplasty: a quality implementation project. J Orthop Surg Res. 2023 Apr 6;18(1):281. doi: 10.1186/s13018-023-03738-0. | |
| 27999663 |
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| Habicher M, Balzer F, Mezger V, Niclas J, Muller M, Perka C, Kramer M, Sander M. Implementation of goal-directed fluid therapy during hip revision arthroplasty: a matched cohort study. Perioper Med (Lond). 2016 Dec 13;5:31. doi: 10.1186/s13741-016-0056-x. eCollection 2016. |