Proactive Hemodynamic Management Using AI-Based Monitoring
During Cytoreductive Surgery and Hyperthermic Intraperitoneal Chemotherapy
for Advanced Ovarian Cancer
Led by Fondazione Policlinico Universitario Agostino Gemelli IRCCS · Updated on 2026-05-11
52
Participants Needed
1
Research Sites
9 weeks
Total Duration
AI-Summary
What this Trial Is About
Researchers are investigating a proactive hemodynamic management approach during cytoreductive surgery CRS combined with hyperthermic intraperitoneal chemotherapy HIPEC for patients with advanced ovarian cancer. This complex surgery carries high risks of complications such as intraoperative hypotension, acute kidney injury, and pulmonary issues. The study aims to test a hemodynamic protocol using artificial intelligence-based parameters to improve management of blood pressure and cardiac output compared to standard goal directed therapy GDT.
CONDITIONS
Brief Title
Proactive Hemodynamic Management During Cytoreductive Surgery and HIPEC
Research Team
L
Luciano Frassanito, MD
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Female patients scheduled for cytoreductive surgery for ovarian cancer
You will not qualify if you...
Patients who refuse to participate
Presence of cardiac arrhythmia
Pregnancy
Your Study Journey
Screening
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Surgery and Immediate Post-operative Care
Duration - Surgery day
Participants undergo cytoreductive surgery with hyperthermic intraperitoneal chemotherapy (CRS-HIPEC) with hemodynamic management using Assisted Fluid Management (AFM) guided by Hypotension Prediction Index (HPI) or standard goal directed therapy to optimize blood pressure and stroke volume during surgery.
1 surgical procedure and immediate post-operative monitoring
Post-operative Follow-up
Duration - Up to discharge from hospital
Participants are monitored for post-operative complications including pulmonary complications and recovery, with assessment of ICU and hospital length of stay.
Approximately 6 post-operative visits including ICU stay
How is the study designed?
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
NON_RANDOMIZED
Model
PARALLEL
Primary Purpose
TREATMENT
Number of Arms
2
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Published Research Related To This Trial
Effect of a perioperative, cardiac output-guided hemodynamic therapy algorithm on outcomes following major gastrointestinal surgery: a randomized clinical trial and systematic review.
Rupert M Pearse, David A Harrison, Neil MacDonald...
Expanding the Use of HIPEC in Ovarian Cancer at Time of Interval Debulking Surgery to FIGO Stage IV and After 6 Cycles of Neoadjuvant Chemotherapy: A Prospective Analysis on Perioperative and Oncologic Outcomes.
Valentina Ghirardi, Rita Trozzi, Francesca Romana Scanu...
Hypotension Prediction Index guided Goal Directed therapy and the amount of Hypotension during Major Gynaecologic Oncologic Surgery: a Randomized Controlled clinical Trial.
Luciano Frassanito, Pietro Paolo Giuri, Francesco Vassalli...
Effect of a Machine Learning-Derived Early Warning System for Intraoperative Hypotension vs Standard Care on Depth and Duration of Intraoperative Hypotension During Elective Noncardiac Surgery: The HYPE Randomized Clinical Trial.
Anaesthesia in patients undergoing cytoreductive surgery with hyperthermic intraperitoneal chemotherapy: retrospective analysis of a single centre three-year experience.