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Trial registered on ANZCTR
Registration number
ACTRN12612001048875
Ethics application status
Not yet submitted
Date submitted
26/09/2012
Date registered
2/10/2012
Date last updated
2/10/2012
Type of registration
Prospectively registered
Titles & IDs
Public title
Cardiac Output Measurement using carbon dioxide inhalation in Open Heart Surgery Patients.
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Scientific title
Cardiac Output Measurement using a Servo-Controlled CO2 Addition Fick Approach in Open Heart Surgery Patients with a Pulmonary Artery Catheter Placed.
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Secondary ID [1]
281297
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Nil
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Universal Trial Number (UTN)
U1111-1135-0773
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Trial acronym
CO2 FICK cardiac output
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Chronic heart failure
287517
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Condition category
Condition code
Cardiovascular
287835
287835
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0
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Other cardiovascular diseases
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Respiratory
287836
287836
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0
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Other respiratory disorders / diseases
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Anaesthesiology
287871
287871
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0
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Other anaesthesiology
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
In Fick CO2 cardiac output (CO) we need to measure CO2 production, and arterial and venous CO2 content of blood.
CO2 production is measured in expired gases. Arterial CO2 content is measured using arterial blood gas from arterial line. Venous CO2 content is measured by adding CO2 to the inspired gas (mass flow-controller) at the CO2 production rate, causing arterial and end expired CO2 to rise to the mixed venous level.This measurement takes approximately 1 minute, measurements may take place every 15-30 minutes for 4 hours.
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Intervention code [1]
285770
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Treatment: Devices
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Comparator / control treatment
This is not a randomised controlled trial. We seek to compare CO measured using a CO2 Fick approach with CO measured using a pulmonary artery catheter. The innovation is the manner in which the CO2 Fick is performed.
A pulmonary artery catheter is the gold standard CO measurement. All patients undergo both methods of measurement simultaneously and thus act as their own control.
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Control group
Active
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Outcomes
Primary outcome [1]
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Accuracy of CO2 cardiac output method compared with the gold standard of the pulmonary artery catheter.
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Assessment method [1]
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Timepoint [1]
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Whilst the patient is endotracheally intubated and has a pulmonary artery catheter insitu.
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Secondary outcome [1]
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Calculation using mathematical models suggests that the mixed venous pCO2 measured using the CO2 addition method equals the mixed venous pCO2 measured using pulmonary artery blood. This is presently untested.
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Assessment method [1]
299354
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Timepoint [1]
299354
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Whilst the patient is endotracheally intubated and has a pulmonary artery catheter insitu.
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Eligibility
Key inclusion criteria
All consented patients undergoing elective open heart surgery and who have a pulmonary artery catheter placed.
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Minimum age
18
Years
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Maximum age
90
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Pregnant women.
Patients with a raised pulmonary artery pressure.
Patients with Obstructive airways disease and raised pCO2.
Patients with a raised intracranial pressure or primary cerebral disease.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
N/A
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
N/A
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Single group
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Other design features
N/A
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Phase
Not Applicable
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Type of endpoint/s
Safety/efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
1/12/2012
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
50
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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Funding & Sponsors
Funding source category [1]
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Government body
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Name [1]
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Department of Business and Innovation, Government of Vic
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Address [1]
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Spring Street, Melbourne , Victoria 3000
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Country [1]
286062
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Australia
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Primary sponsor type
Hospital
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Name
Southern Health
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Address
Monash Medical Centre
246 Clayton Road, Clayton Victoria 3168
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Country
Australia
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Secondary sponsor category [1]
284880
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None
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Name [1]
284880
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Address [1]
284880
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Country [1]
284880
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Ethics approval
Ethics application status
Not yet submitted
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Ethics committee name [1]
288114
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Southern Health Research and Ethics Committee
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Ethics committee address [1]
288114
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246 Clayton Road, Clayton Victoria 3168
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Ethics committee country [1]
288114
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Australia
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Date submitted for ethics approval [1]
288114
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19/09/2012
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Approval date [1]
288114
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Ethics approval number [1]
288114
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Summary
Brief summary
This is a study to find a new way to measure the cardiac output (CO), the amount of blood that leaves the heart every minute. Presently in order to measure CO we have to insert an expensive catheter into the heart which can bring complications. The present study aims to measure CO by inhaling small puffs of carbon dioxide which is normally excreted by the lung. By measuring the amount by which the blood concentration of CO2 rises we can know the blood flow through the lung.This is equal to the CO.
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Trial website
N/A
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
34755
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Address
34755
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Country
34755
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Phone
34755
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Fax
34755
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Email
34755
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Contact person for public queries
Name
18002
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A/Prof Geoffrey Parkin
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Address
18002
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246 Clayton Road, Clayton Victoria,3168
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Country
18002
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Australia
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Phone
18002
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+61 3 9594 3277/3616
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Fax
18002
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+61 3 9594 6297
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Email
18002
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[email protected]
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Contact person for scientific queries
Name
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A/Prof Geoffrey Parkin
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Address
8930
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246 Clayton Road, Clayton Victoria, 3168
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Country
8930
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Australia
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Phone
8930
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+61 3 9594 3277/3616
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Fax
8930
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+61 3 9594 6297
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Email
8930
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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