Can blood pressure waveforms replace the esophageal probe for cardiac output?
NCT ID NCT04926220
First seen Sep 22, 2026 · Last updated Sep 23, 2026 · Updated 1 time
Summary
During major surgery, doctors often need to know how much blood the heart is pumping. Esophageal Doppler is a standard method, but it requires a probe in the food pipe. This trial compares two devices that estimate cardiac output from arterial blood pressure waveforms, MostCareUp and Argos, against esophageal Doppler in 36 adults having surgery or interventional radiology under general anesthesia. Researchers measure how well the three methods agree when blood pressure or fluid levels change.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Cardiac output monitoring devices: esophageal Doppler, MostCareUp waveform analysis, and Argos monitor
- What this could lead to
- If the waveform methods track cardiac output as well as esophageal Doppler, doctors could estimate blood flow without placing an esophageal probe.
- What could go wrong
- The trial is small, with 36 participants, and compares measurements rather than patient outcomes. The methods may not agree closely enough during real hemodynamic changes to replace esophageal Doppler.
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Study facts
What this study's own registry entry says, in plain language.
- Participants
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36 people
The number who actually took part.
- Started
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Sep 2021
- Finished
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Jul 2022
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
Who is studied
Adult patients eligible for an interventional radiology procedure, surgery under general anesthesia, or admitted to intensive care unit for postoperative organ failure, benefiting from intraoperative and postoperative hemodynamic optimization in intensive care including routine blood pressure monitoring and measurement of cardiac output by esophageal Doppler.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Major patients (≥ 18 years ) * Eligible for an interventional radiology procedure or surgery under general anesthesia * Monitoring of invasive blood pressure and cardiac output by trans-esophageal Doppler. * Patients informed and having expressed their non-opposition to participation in this research Exclusion Criteria: * Patients under 18 years old * Atrial fibrillation * Contraindication to trans-esophageal doppler * Patient opposed to protocol participation * Pregnant woman * Patient under judicial protection * Patient without affiliation to a social security scheme
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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AP-HP, Lariboisière Hospital, Department of Anesthesiology and Intensive Care
Paris, 75010, France
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