Impact of Perioperative Intravenous Fluid Utilization on Postoperative Outcomes Following Elective Open Colorectal Surgery
The purpose of this study is to evaluate the impact of reduction in the amount of
perioperative fluids on postoperative morbidity, postoperative recovery and the duration of
hospitalization. The study will accrue patients undergoing elective open intestinal
resection for benign and malignant conditions of the small and large bowel. Patients, who
consent to the study, will be randomized at the time of consent, preoperatively. The
primary study endpoint will a composite of mortality and major morbidity within the first 30
postoperative days. Secondary endpoints will be return to bowel function (flatus or bowel
movement), postoperative hospital stay including the day of surgery and a composite of minor
complications. Approximately 186 patients will participate in the study, 93 in each group.
Patients will be randomized into one of two groups: the Restricted Fluid Regimen group and
the Normal Fluid Administration Regimen group. A very specific flow chart for each group
will be followed to distinguish the group. A research nurse will collect the data needed for
the study on a daily basis. The patient will be managed by the primary surgeon and his team
and the study group flow chart will be followed. If for medical reasons, the patient's care
needs to be varied from the study, this is allowed, and will be documented for the study
purposes.
Interventional
Allocation: Randomized, Endpoint Classification: Safety Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment
Morbidity
Reduction in post-operative complications at the time of hospital discharge after the surgical episode
5-7 days
Yes
Lucci Stocchi, MD
Principal Investigator
The Cleveland Clinic
United States: Institutional Review Board
07-016
NCT01563991
February 2007
Name | Location |
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Cleveland Clinic | Cleveland, Ohio 44195 |