We will perform this single-center pilot trial to determine if the intraoperative urethral perfusion index is higher in patients assigned to maintaining postinduction baseline urethral perfusion index than in patients assigned to routine care (with blinded urethral perfusion index monitoring). As pre-planned substudies, we will also assess the agreement between a) urethral perfusion index-derived pulse rate and heart rate measured with an electrocardiogram and b) between the urethral perfusion index and the peripheral perfusion index.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
116
The urethral perfusion index will be monitored using the IKORUS System (Vygon, Écouen, France)
University Medical Center Hamburg-Eppendorf
Hamburg, Germany
NOT_YET_RECRUITINGUniversity Medical Center Hamburg-Eppendorf
Hamburg, Germany
RECRUITINGaverage intraoperative urethral perfusion index
Time frame: Start of surgery until end of surgery
the absolute lowest intraoperative urethral perfusion index
Time frame: Start of surgery until end of surgery
the lowest intraoperative 5-minute moving average urethral perfusion index
Time frame: Start of surgery until end of surgery
the intraoperative area under the baseline urethral perfusion index
Time frame: Start of surgery until end of surgery
the cumulative intraoperative duration with a urethral perfusion index below the baseline urethral perfusion index
Time frame: Start of surgery until end of surgery
the percentage of surgical time the urethral perfusion index is above the postinduction baseline urethral perfusion index
Time frame: Start of surgery until end of surgery
intraoperative area under a urethral perfusion index value 30% below baseline
Time frame: Start of surgery until end of surgery
cumulative intraoperative duration with a urethral perfusion index below at least 30% lower than baseline
Time frame: Start of surgery until end of surgery
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