The effect of an intraoperative, goal-directed volume protocol in abdominal surgery within an accelerated recovery program after surgery (Enhanced Recovery Program After Surgery: ERAS-Program)

ISRCTN ISRCTN94786070
DOI https://doi.org/10.1186/ISRCTN94786070
Secondary identifying numbers N/A
Submission date
04/02/2008
Registration date
27/03/2008
Last edited
11/08/2011
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Digestive System
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Not provided at time of registration

Contact information

Prof Claudia Spies
Scientific

Charitéplatz 1
Berlin
10117
Germany

Email claudia.spies@charite.de

Study information

Study designProspective, randomised, double-blinded, two-arm multi-center trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Hospital
Study typeTreatment
Participant information sheet Not available in web format, please use the contact details below to request a patient information sheet
Scientific title
Study acronymERAS Doppler
Study objectivesPrimary Hypothesis:
In contrast to a liberal volume management strategy there is a difference in the amount of intravenously administered crystalloid and colloid fluid on the day of operation compared to a goal-directed volume protocol within an accelerated surgical recovery program (ERAS-Program).

Secondary Hypothesis:
The goal-directed perioperative fluid therapy reduces the intraoperative requirement for vasoactive drugs, the time to hospital discharge and the rate of postoperative complications (pain, delirium. infections, cardiac, pulmonary, gastrointestinal and renal dysfunction).

As of 03/11/2010 this record has been updated to include an extended anticipated end date; the initial anticipated end date of this trial was 01/02/2010.
Ethics approval(s)Ethics Committee of Charité - University Medicine Berlin, approved on 4th December 2007
Health condition(s) or problem(s) studiedColonic resection above the peritoneal reflection
InterventionTargeted-volume application guided by esophageal doppler vs conventional volume application
Intervention typeOther
Primary outcome measureDifference in the amount of intravenously administered crystalloid and colloid fluid on the day of operation
Secondary outcome measures1. Reduction of the intraoperative requirement for vasoactive drugs
2. Time to hospital discharge
3. Rate of postoperative complications (pain, delirium. infections, cardiac, pulmonary, gastrointestinal and renal dysfunction). Patients will be monitored until they fulfill the hospital discharge criteria or up to 30th postoperative day.
Overall study start date05/02/2008
Completion date31/12/2011

Eligibility

Participant type(s)Patient
Age groupAdult
SexBoth
Target number of participants42
Key inclusion criteria1. Written patient consent
2. Patients who undergo colonic resection above the peritoneal reflection
3. Patients who are treated within the context of an accelerated post-operative recovery program
Key exclusion criteria1. Accommodation in an institution due to an official or judicial order
2. No written consent from patient
3. Unwillingness to allow storage and sharing of anonymised disease data in the context of the clinical study
4. Simultaneous participation of the patient in another study or having been in a study which was terminated less than one week ago
5. American Society of Anaesthesiologists (ASA) classification >III
6. Advanced disease of the oesophagus of nasopharyngeal cavity
7. Operations in the area of the oesophagus or nasopharynx within the last 3 months
8. Systemic steroid therapy
9. Moderate or severe heart valve disease
10. von Willebrands disease
11. History of bleeding tendency
12. Liver disease (Child B or C cirrhosis, End-Stage Liver Disease [MELD] score >17)
13. Age <18 years
14. Renal failure (serum creatinine >2.0 mg/dL)
15. Chronic heart failure New York Heart Association (NYHA) class III or IV
16. History of intracranial haemorrhage
17. Allergy to hydroxy-ethyl starch
Date of first enrolment05/02/2008
Date of final enrolment31/12/2011

Locations

Countries of recruitment

  • Germany
  • Netherlands
  • Norway

Study participating centre

Charitéplatz 1
Berlin
10117
Germany

Sponsor information

Charité - University Medicine Berlin (Charité - Universitätsmedizin Berlin) (Germany)
University/education

Charitéplatz 1
Berlin
10117
Germany

Email anaesthesie-virchow-klinikum@charite.de
ROR logo "ROR" https://ror.org/001w7jn25

Funders

Funder type

University/education

Charité - University Medicine Berlin (Charité - Universitätsmedizin Berlin) (Germany)

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan