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Do you have any ideas or suggestions about information that you would find helpful to see on this website, please contact one of our Project Leaders:

Thanks to all Participating Centers and collaborators for engaging in this research program!

Thanks to the CCCTG for endorsing this research project.
  • Good News
    We have been awarded a second grant for OVATION from the FRSQ. These addition funds will allow us to undertake parts of the study were not funded through the CIHR grant.
  • Upcoming Grant Submission
    We are positioning ourselves for a CIHR submission for the definitive study in Spring 2014.
  • Implementation of the study
    François and Chantal are very pleased to report that they are observing perfect adherence to the protocol so far. The implementation at the lead site has also been a great opportunity to us to pilot the Central Randomization System (CRS) and REDCap (eCRF). We are working to incorporate these experiences into our study materials in time to roll‐out to all participating centres.
  • Advisory Meeting for the Next Phase
    Current and future collaborators participated in a very productive advisory meeting on Oct 30th in Hamilton, ON.  Discussions included an overview of our pilot experience, including adherence to the study intervention, funding strategies and considerations for the grant for the next phase which we are planning on submitting to CIHR in March 2014.
  • Join the Next Phase
    We are preparing for the next phase of the OVATION program.  We are seeking out sites that are interested in joining this exciting study.  Click here for a synopsis of the upcoming study.

OVATION Program

The goal of the OVATION program of research is to determine a safe blood pressure target for most patients with vasodilatory hypotension requiring vasopressors.


CONTACT US if you are interested in joining this program of research.

There is a lack of clinical research to guide the treatment of hypotension in critical illness with vasopressors, drugs that can reverse hypotension. Unfortunately, the safety profile of vasopressors and the extreme vulnerability of critically-ill patients leave treating physicians no margin of error. We have an opportunity with the OVATION program to advance our understanding of, and to translate into practice, the optimal strategy to improve outcomes for these patients.

Research Question: Among critically ill adults aged 65 years and older with vasodilatory hypotension, does minimizing vasopressor use by applying lower MAP targets (≤ 65 mmHg as tolerated) vs. 75-80 mmHg (typical of usual care) reduce the proportion of patients who are either dead or dependent on life-sustaining therapies at day 28?

Preliminary Studies

OVATION Survey

OVATION Retrospective Cohort Study

Vasopressor Stewardship

OVATION Pilot Trial

The OVATION Pilot Trial was recently completed more than one year ahead of schedule! This study addressses the feasibility of the larger definitive study (see below). The pilot enabled us to develop and test implement measures to optimize protocol adherence for the study.  We have established an efficient infrastructure for both Canadian and international participation in the study.

For further information on the pilot refer to our Pilot Trial page.

OVATION Observational Trial

The OVATION Observational trial, was conducted in parallel to the Pilot study, and is also complate.  The purpose of the Observational trial was to describe standard practices in the ICU with regards to vasopressor dosing. Across 6 Canadian centers, the trial recruited 60 critically ill, hypotensive adults receiving vasopressors.

OVATION Trial (Definitive Study)

We have submitted an application to obtain funding to conduct the larger definitive trial of 810 patients across 23 Canadian centres. The results of this trial will provide a stronger foundation for establishing the most suitable treatment strategy for critically ill adults aged 65 years and older with vasodilatory hypotension.

This trial will be conducted under the auspices of the Canadian Critical Care Trials Group, in partnership with the Canadian Critical Care Society (CCCS), the Canadian Association of Critical Care Nurses (CACCN) and the Institute for Safer Medication Practices (ISMP) Canada. Other organization support the OVATION Program and will play specific roles moving forward such as the Canadian Society of Hospital Pharmacists (CSHP), the Canadian Association of Emergency Physicians (CAEP), and the Canadian Agency for Drugs and Technologies in Health (CADTH). We are welcoming input from ICU survivors and healthy citizens. The OPTICS Project described below was designed for this purpose.

OPTICS

The Outcome PrioriTies In crItical Care Studies (OPTICS) program is an ongoing project embeded in OVATION through which we will engage ICU survivors and healthy citizens and ask them to rank the clinical outcomes in OVATION relative to one another.

The goal is to enable the public to express how they value different outcomes measured in critical care studies like OVATION. We believe that the interpretation of the study results should take into consideration the preferences of the broader population who ultimately is the sponsor of this research and its primary beneficiary.