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Fluid OverloadNCT03789474

Does Fluid Requirement Decrease With the Use of Pneumatic Compression Device on Lower Limbs

A study testing HUNTLEIGH FLOWTRON ACS900 in people with Fluid Overload, run by All India Institute of Medical Sciences, Rishikesh.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

Impact of intraoperative use of pneumatic peristaltic compression device on hemodynamics vis a vis on fluid requirement during general anaesthesia and surgery. Read more about this study

Who is it for?
Ages 25 to 50 yearsHealthy volunteers can take part
Conditions the study is for
Fluid Overload
What is being tested?
HUNTLEIGH FLOWTRON ACS900
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
60 participants
Where
No sites listed yet
Study dates
1 Jan 2017to 30 Jul 2018
Phase
Interventional
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 25 to 50 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • ASA(American Society of Anaesthesiologists) grade I or II, of both genders
  • Age group of 25 to 50 years
  • Patients undergoing surgeries under GA(General Anaesthesia) for 2-3 hours

Who cannot join

  • Patients expected to get major blood loss
  • Burns patients.
  • Patients with significant cardiac diseases.
  • Patients with pulmonary diseases and impaired renal function.
  • Lower limb surgeries and abdominal surgeries

About this study

Official title: Impact of Intra-operative Use of Peristaltic Pneumatic Compression Device on Haemodynamics Vis-à-vis Fluid Requirement During General Anaesthesia and Surgery:A Randomized Prospective Study

Impact of intraoperative use of pneumatic peristaltic compression device on hemodynamics vis a vis on fluid requirement during general anaesthesia and surgery.

Read the detailed description

Induction of general anaesthesia is associated with cardiac depression and peripheral vasodilatation resulting in hypotension .This hypotension can be corrected by giving intravenous fluid, or the vasoconstrictor. While optimum fluid balances in the perioperative period is of vital importance in overnight fasting patients to correct the fluid deficit, any fluid overload is not only counterproductive to the heart function but is associated with fluid retention in body and edema in postoperative period.

Peristaltic pneumatic compression device, a variant of intermittent sequential compression of legs, uses higher pressure and longer compression cycles to avoid venous stasis in immobilized patients. Sequential compression devices have sleeves with pockets of inflation, which works to squeeze on the appendage in a milking action .The most distal areas will inflate initially, and the subsequent pockets will follow in the same manner. The primary aim of the device is to squeeze blood from the underlying deep veins to proximal side. When the inflatable sleeves deflate, the veins will replenish with blood. The intermittent compressions of the sleeves will ensure the movement of venous blood . Peristaltic Pneumatic Compression of the legs significantly reduces fluid demand and enhances stability during minor ear, nose, and throat surgery. Peristaltic Pneumatic Compression has the potential to support fluid restriction regimens during surgery .

Conditions
Fluid Overload
Being tested
HUNTLEIGH FLOWTRON ACS900
Medical subject headings
Edema

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • HUNTLEIGH FLOWTRON ACS900Device

Study groups in NCT03789474
Study groupRoleWhat they receive
Group ANo interventionNo intervention was done ,served as a control group.
Group BExperimentalIntervention:peristaltic pneumatic compression device was placed on the legs of the patient and was active. HUNTLEIGH FLOWTRON ACS900 calf length device was used.
Receives: Device: HUNTLEIGH FLOWTRON ACS900

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Heart Rate at T0

    heart rate monitoring at T0

    Measured: 15 minutes pre induction

  2. Heart Rate at T1

    heart rate monitoring at T1

    Measured: post induction heart rate

  3. Heart Rate at T2

    heart rate monitoring at T2

    Measured: 15 minutes after induction

  4. Heart Rate at T3

    heart rate monitoring at T3

    Measured: 30 minutes after induction

  5. Heart Rate at T4

    heart rate monitoring at T4

    Measured: 60 minutes after induction

  6. Heart Rate at T5

    heart rate monitoring at T5

    Measured: 120 minutes after induction

  7. Heart Rate at T6

    heart rate monitoring at T6

    Measured: post operative period after 30 min in post anaesthesia care unit

  8. Systolic Blood Pressure at T0

    systolic blood pressure measurement at T0

    Measured: 15 min before induction

  9. Systolic Blood Pressure at T1

    systolic blood pressure measurement at T1

    Measured: post induction

  10. Systolic Blood Pressure at T2

    systolic blood pressure measurement at T2

    Measured: 15 min after induction

  11. Systolic Blood Pressure at T3

    systolic blood pressure measurement at T3

    Measured: 30 min after induction

  12. Systolic Blood Pressure at T4

    systolic blood pressure measurement at T4

    Measured: 60 min after induction

  13. Systolic Blood Pressure at T5

    systolic blood pressure measurement at T5

    Measured: 120 min after induction

  14. Systolic Blood Pressure at T6

    systolic blood pressure measurement at T6

    Measured: post operative period 30 min in post asnaesthesia care unit

  15. Diastolic Blood Presure at T0

    Diastolic blood pressure measurement at T0

    Measured: 15 minutes before induction

  16. Diastolic Blood Pressure at T1

    Diastolic blood pressure measurement at T1

    Measured: immediately after induction

  17. Diastolic Blood Pressure at T2

    Diastolic blood pressure measurement at T2

    Measured: 15 minutes after induction

  18. Diastolic Blood Pressure at T3

    Diastolic blood pressure measurement at T3

    Measured: 30 minutes after induction

  19. Diastolic Blood Pressure at T4

    Diastolic blood pressure measurement at T4

    Measured: 60 minutes after induction

  20. Diastolic Blood Pressure at T5

    Diastolic blood pressure measurement at T5

    Measured: 120 minutes after induction

  21. Diastolic Blood Pressure at T6

    Diastolic blood pressure measurement at T6

    Measured: post induction 30 min in post anaesthesia care unit

  22. Mean Blood Pressure at T0

    Mean blood pressure measurement at T0

    Measured: 15 minutes pre induction

  23. Mean Blood Pressure at T1

    Mean blood pressure measurement at T1

    Measured: immediately after induction

  24. Mean Blood Pressure at T2

    Mean blood pressure measurement at T2

    Measured: 15 minutes after induction

  25. Mean Blood Pressure at T3

    Mean blood pressure measurement at T3

    Measured: 30 minutes after induction

  26. Mean Blood Pressure at T4

    Mean blood pressure measurement at T4

    Measured: 60 minutes after induction

  27. Mean Blood Pressure at T5

    Mean blood pressure measurement at T5

    Measured: 120 minutes after induction

  28. Mean Blood Pressure at T6

    Mean blood pressure measurement at T6

    Measured: post operative 30 min in post anaesthesia care unit

  29. Femoral Vein Velocity at T0

    Femoral vein velocity measuement at T0

    Measured: 15 minutes pre induction

  30. Femoral Vein Velocity at T2

    Femoral vein velocity measurement at T2

    Measured: 15 minutes after induction

  31. Femoral Vein Velocity at T6

    Femoral vein velocity measurement at T6

    Measured: after 30 minutes in post anaesthesia care unit

  32. Femoral Vein Velocity Variance

    the variance in femoral vein velocity was calculated by subtracting the femoral vein velocity pre induction from femoral vein velocity 15 min after induction divided by mean of the two values in percentage

    Measured: 15 minutes pre induction to 30 minutes in post anaesthesia care unit

  33. Femoral Artery Velocity at T0

    Femoral artery velocity measurement at T0

    Measured: 15 minutes pre induction

  34. Femoral Artery Velocity at T2

    Femoral artery velocity measurement at T2

    Measured: 15 minutes after induction

  35. Femoral Artery Velocity at T6

    Femoral artery velocity measurement at T6

    Measured: after 30 minutes in post anaesthesia care unit

  36. Inferior Venacava Diameter (Maximum) at T0

    inferior venacava diameter (maximum) meaurement at T0

    Measured: 15 min pre induction

  37. Inferior Venacava Diameter (Maximum) at T2

    inferior venacava diameter (maximum) meaurement at T2

    Measured: 15 min after induction

  38. Inferior Venacava Diameter (Maximum) at T6

    inferior venacava diameter (maximum) meaurement at T6

    Measured: after 30 min in post anaesthesia care unit

  39. Inferior Venacava Diameter (Minimum) at T0

    inferior venacava diameter (minimum) meaurement at T0

    Measured: 15 min pre induction

  40. Inferior Venacava Diameter (Minimum) at T2

    inferior venacava diameter (minimum) meaurement at T2

    Measured: 15 min after induction

  41. Inferior Venacava Diameter (Minimum) at T6

    inferior venacava diameter (minimum) meaurement at T6

    Measured: after 30 min in post anaesthesia care unit

  42. Inferior Venacava Diameter Collapsibility Index at T0

    the collapsibility index was calculated by dividing the difference of maximum inferior vena cava diameter and minimum inferior vena cava diameter by mean of the two diameters multiplied by 100.This was done for pre induction spontaneously breathing patients

    Measured: 15 min pre induction

  43. Inferior Venacava Diameter Distensibility Index at T2

    the inferior venacava distensibility index for post induction mechanically ventilated patients. It was calculated by dividing the difference of maximum inferior vena cava diameter and minimum inferior vena cava diameter by minimum inferior vena cava diameters multiplied by 100 .

    Measured: 15 min after induction

  44. Inferior Venacava Diameter Collapsibility Index at T6

    the collapsibility index was calculated by dividing the difference of maximum inferior vena cava diameter and minimum inferior vena cava diameter by mean of the two diameters multiplied by 100.This was done for pre induction spontaneously breathing patients

    Measured: after 30 minutes in post anaesthesia care unit

  45. FLUID REQUIREMENT (Cumulative)

    fluid requirement (cumulative) during the operative period.

    Measured: operative period

  46. Blood Loss During Operation

    Total blood loss during operation

    Measured: During operating procedure

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted28 Dec 2018
  2. Study start1 Jan 2017
  3. Primary completion30 Jul 2018
  4. Study completion30 Jul 2018

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Model description
About 60 patients of age group 25 to 50 belonging to American Society of Anesthesiologists (ASA) grade 1 and 2 were allocated to either control or sequential pneumatic compression device group .Allocation was done by sealed envelop technique.In the operating room,in the control group,the device was placed on operating table and was placed next to the patients calves.in the intervention group,the device was placed over calves and inflated during induction of General Anaesthesia (GA) and maintenance.legs were draped in both the groups.Femoral vein velocities were assessed using ultrasound in preoperative period , intraoperatively 15 minutes after induction of anaesthesia and in post-operative period.
Masking
Triple blind
Who is masked
Participant, Care provider, Investigator
Enrolment
60 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03789474
Sponsor's protocol ID
AIIMSRishikesh
Status last verified
Aug 2020
First submitted
27 Dec 2018
Last updated
21 Aug 2020
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
Yes
Individual data sharing
Yes: study protocol,stastical analysis plan,informed consent form.

Publications

  • Kiefer N, Theis J, Putensen-Himmer G, Hoeft A, Zenker S. Peristaltic pneumatic compression of the legs reduces fluid demand and improves hemodynamic stability during surgery: a randomized, prospective study. Anesthesiology. 2011 Mar;114(3):536-44. doi: 10.1097/ALN.0b013e31820c3973.

    PubMed 21307764
  • Kaufmann KB, Stein L, Bogatyreva L, Ulbrich F, Kaifi JT, Hauschke D, Loop T, Goebel U. Oesophageal Doppler guided goal-directed haemodynamic therapy in thoracic surgery - a single centre randomized parallel-arm trial. Br J Anaesth. 2017 Jun 1;118(6):852-861. doi: 10.1093/bja/aew447.

    PubMed 28575331
  • Meng L, Heerdt PM. Perioperative goal-directed haemodynamic therapy based on flow parameters: a concept in evolution. Br J Anaesth. 2016 Dec;117(suppl 3):iii3-iii17. doi: 10.1093/bja/aew363.

    PubMed 27940452
  • Millard JA, Hill BB, Cook PS, Fenoglio ME, Stahlgren LH. Intermittent sequential pneumatic compression in prevention of venous stasis associated with pneumoperitoneum during laparoscopic cholecystectomy. Arch Surg. 1993 Aug;128(8):914-8; discussion 918-9. doi: 10.1001/archsurg.1993.01420200088016.

    PubMed 8343064

Questions about this trial

What is this clinical trial studying?

A study testing HUNTLEIGH FLOWTRON ACS900 in people with Fluid Overload, run by All India Institute of Medical Sciences, Rishikesh.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 3 inclusion and 5 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 21 Aug 2020. Status can change between updates, so confirm with the study contact before making plans.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

Yes. Results are posted in the registry (first posted 21 Aug 2020). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Heart Rate at T0 (time frame: 15 minutes pre induction). The study lists 46 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT03789474, which also lists 4 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 21 Aug 2020.

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