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In high perioperative risk patients, guidelines suggest intraoperative haemodynamic optimization by measurement of stroke volume (SV) to guide fluid resucitation.This strategy requires an invasive monitoring and learning. Some studies tried to find SV surrogates based on haemodynamic usual parameters. In an experimental hemorrhagic shock, SV was correlated to the pulse pressure (PP) / heart rate (HR) ratio.
The investigators hypothesized that SV variations (ΔSV) would be correlated to the PP/HR ratio variations (ΔPP / HR) during fluid challenge, and ΔPP / HR would be able to detect a ΔSV greater than 10%.
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| fluid challenge of saline | Drug | 250 ml of saline |
|
| Measure | Description | Time Frame |
|---|---|---|
| correlation by linear regression between variations of the ratio PP/HR ( in percentage) and variations of SV ( in percentage) during fluid challenge | 18 months |
| Measure | Description | Time Frame |
|---|---|---|
| Area under the receiver operating characteristic curve (AUC roc) of the ability of variations of the ratio PP/HR ( in percentage)during fluid challenge to predict an increase of SV greater than 10% | 18 month |
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Inclusion Criteria:
Exclusion Criteria:
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General anaesthesia.Orotracheal intubation and mechanical ventilation Advanced Haemodynamic Monitoring intraoperative ( arterial pressure catheter, oesophageal Doppler)
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Olivier REBET | Contact | 33231064736 | rebet-o@chu-caen.fr | |
| Jean Luc Hanouz | Contact | 33231064736 | hanouz-jl@chu-caen.fr |
| Name | Affiliation | Role |
|---|---|---|
| Olivier REBET | University Hospital, Caen | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| CAEN University Hospital | Recruiting | Caen | Basse Normandie | 1400 | France |
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| ID | Term |
|---|---|
| D020896 | Hypovolemia |
| ID | Term |
|---|---|
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
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