SMOOCH - Small Volume Challenges to Predict Volume Responsiveness: Prospective Interventional Study

The recruitment status of this study is unknown because the information has not been verified recently.
Verified October 2010 by Technische Universität München.
Recruitment status was  Recruiting
Sponsor:
Information provided by:
Technische Universität München
ClinicalTrials.gov Identifier:
NCT01227304
First received: October 21, 2010
Last updated: October 22, 2010
Last verified: October 2010

October 21, 2010
October 22, 2010
July 2010
December 2010   (final data collection date for primary outcome measure)
  • Prediction of volume responsiveness defined as an increase in Cardiac Index of ≥ 15% after transpulmonary thermodilution measurement of 15 minutes [ Time Frame: 15 minutes after start of infusion ] [ Designated as safety issue: Yes ]
  • Prediction of volume responsiveness defined as an increase in Cardiac Index of ≥ 15% after transpulmonary thermodilution measurement of 30 minutes [ Time Frame: 30 minutes after start of infusion ] [ Designated as safety issue: Yes ]
Same as current
Complete list of historical versions of study NCT01227304 on ClinicalTrials.gov Archive Site
  • Predictive capabilities of Cardiac Index (measured by pulse contour) [ Time Frame: within 30 minutes after start of infusion ] [ Designated as safety issue: Yes ]
  • Comparison of global enddiastolic volume index to baseline values [ Time Frame: 30 minutes after start of infusion ] [ Designated as safety issue: Yes ]
  • Comparison of central venous pressure levels to baseline values [ Time Frame: 30 minutes after start of infusion ] [ Designated as safety issue: Yes ]
Same as current
Not Provided
Not Provided
 
SMOOCH - Small Volume Challenges to Predict Volume Responsiveness: Prospective Interventional Study
Not Provided
  • test for volume responsiveness
  • PiCCO-guided infusion over a pre-defined period of time
Not Provided
Interventional
Not Provided
Endpoint Classification: Safety/Efficacy Study
Intervention Model: Single Group Assignment
Masking: Open Label
Primary Purpose: Diagnostic
Prediction of Volume Responsiveness
Device: PiCCO-parameter-guided volume challenge
Infusion of 7ml/kg crystalloid over 30 minutes, Performing transpulmonary thermodilutions after 0min, 15min and 30min. Recording of pulse contour cardiac index, heart rate and mean arterial pressure after 5, 10, 15, 20, 25 and 30min. Catecholamines are kept stable over the 30min period.
Experimental: Test of volume responsiveness using crystalloids
Intervention: Device: PiCCO-parameter-guided volume challenge
Not Provided

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Recruiting
100
December 2010
December 2010   (final data collection date for primary outcome measure)

Inclusion Criteria:

  • Patients are equipped with PiCCO monitoring independently to the study.
  • One criteria of decreased usefulness of the parameters of preload/volume responsiveness available using the PiCCO device:

    1. Femoral access of the central venous catheter precluding application of the normal ranges of global enddiastolic volume index and central venous pressure.
    2. Absence of sinus rhythm and/or controlled ventilation precluding the use of stroke volume variation.
    3. Evidence of increased intraabdominal pressure which is known to further reduce the usefulness of central venous pressure.
    4. Contradictory suggestions by stroke volume variation and global enddiastolic volume index.
    5. Intolerance of passive leg raising.
    6. Absence of therapeutic alternatives to volume resuscitation.

Exclusion Criteria:

  • Extravascular volume-over plus: global enddiastolic volume index > 1000ml/sqm
  • Pulmonary edema: extravascular lungwater index > 20ml/kg
  • Cardiogenic shock without volume deficiency (cardiac index <2L/min; global enddiastolic volume index > 850ml/sqm)
Both
18 Years and older
No
Not Provided
Germany
 
NCT01227304
SMOOCH-1
Not Provided
Wolfgang Huber, Klinikumr rechts der Isar
Technische Universität München
Not Provided
Not Provided
Technische Universität München
October 2010

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP