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The Influence of a Warmed Surgical Bandage System on Subcutaneous Tissue Oxygen Tension After Cardiac Surgery
This study is not yet open for participant recruitment.
Verified by Medical University of Vienna, October 2007
Sponsors and Collaborators: Medical University of Vienna
Outcomes Research Consortium
Information provided by: Medical University of Vienna
ClinicalTrials.gov Identifier: NCT00545506
  Purpose

Warmed Surgical Bandage may improve tissue oxygenation and thus on the long run reduce wound infections


Condition Intervention Phase
Tisssue Oxygen Tension
Tissue Temperature
Device: warming bandage
Phase III

MedlinePlus related topics: Heart Surgery
U.S. FDA Resources
Study Type: Interventional
Study Design: Basic Science, Randomized, Double Blind (Subject, Caregiver), Placebo Control, Parallel Assignment, Efficacy Study
Official Title: The Influence of a Warmed Surgical Bandage System on Subcutaneous Tiisue Oxygen Tension After Cardiac Surgery

Further study details as provided by Medical University of Vienna:

Primary Outcome Measures:
  • tissue oxygenation levels [ Time Frame: 2 years ]

Estimated Enrollment: 40
Study Start Date: November 2007
Estimated Study Completion Date: November 2009
Arms Assigned Interventions
A: No Intervention
konventional bandage on sternal wound
B: Experimental
warming bandage on sternal wound
Device: warming bandage
the warming bandage will be put at the sternal wound after surgery
Device: warming bandage
warming bandage on sternal wound postoperatively

Detailed Description:

Wound infections are common and serious complications of anesthesia and surgery. The morbidity associated with surgical infections is considerable and includes substantial prolongation of hospitalization.

The wound infection risk in patients undergoing cardiac surgery ranges from 0.8 to 17.7% including both superficial and deep sternal infections.

Major factors influencing the incidence of surgical wound infection other than site and complexity of surgery, underlying illness, timely administration of prophylactic antibiotics, intraoperative patient temperature, hypovolemia and tissue oxygen tension. The primary determinant of tissue oxygen availability is local perfusion. Thermoregulatory status is one of the major factors influencing tissue perfusion. Local warming induces pre- capillary vasodilation and improves tissue oxygenation. Local warming of surgical wounds may provide a simple and inexpensive way to reduce perioperative wound complications. Specifically, we will test the hypothesis that Warm- Up therapy increases postoperative tissue oxygen tension in patients undergoing cardiopulmonary bypass.

  Eligibility

Ages Eligible for Study:   18 Years to 80 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Patients ≥18 years of age scheduled for elective cardiac surgery on normothermic cardio-pulmonary bypass will be invited to participate

Exclusion Criteria:

  • Emergency surgery
  • Pre - or postoperative on intraaortic balloon pump
  • Preoperative mechanical ventilation
  • Postoperative respiratory failure
  • Postoperative extracorporal membrane oxygenation
  • Left ventricular function < 40%
  • Fever (core temperature > 38 °C) or current infection
  • No anticipated or no definitive primary closure of surgical wound.
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00545506

Contacts
Contact: Edith Fleischmann, MD +43 1 40400 4100 edith.fleischmann@meduniwien.ac.at
Contact: Barbara Kabon, MD +43 1 40400 4100 barbara.kabon@meduniwien.ac.at

Sponsors and Collaborators
Medical University of Vienna
Outcomes Research Consortium
Investigators
Principal Investigator: Barbara Kabon, MD Medical University Vienna,Spitalgasse 23, 1090 Vienna, Austria
Principal Investigator: Helmut Hager, MD Medical University Vienna, Spitalgasse 23, 1090 Vienna, Austra
  More Information

Study ID Numbers: 1.0
Study First Received: October 16, 2007
Last Updated: October 16, 2007
ClinicalTrials.gov Identifier: NCT00545506  
Health Authority: Austria: Agency for Health and Food Safety

Keywords provided by Medical University of Vienna:
wound infection
tissue oxygen tension
local warming

Study placed in the following topic categories:
Wound Infection

ClinicalTrials.gov processed this record on January 14, 2009