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Production and utilization of lactate in an intensive care patient population

Description of lactate kinetics in ICU patients using a bolus injection of 13C-labeled lactate - an experimental open-label non-randomized clinical trial

Status
Completed
Phases
Unknown
Study type
Interventional
Source
ANZCTR
Registry ID
ACTRN12617000626369
Enrollment
10
Registered
2017-05-01
Start date
2017-05-22
Completion date
2018-01-10
Last updated
2019-07-15

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

None listed

Brief summary

In order to describe lactate metabolism in critically ill patients our group has designed a simple, minimally invasive protocol in healthy volunteers. In our current study we aim to use this protocol in a mixed ICU population. Briefly patients will be recruited after informed consent (from next of kin when appropriate). After this baseline samples will be drawn and a bolus dose of 13C-labeled lactate (2.7mg/kg) will be given. Blood samples will be drawn over two hours (no more than 100 ml all together), samples will be frozen and analyzed for lactate concentration and 13C-enrichment. An interim analysis will be conducted after the first 6 patients. Data will be collected from electronical charting systems.

Interventions

Each ICU patient will receive a single bolus dose of 13C-labeled lactate (2.7mg/kg body weight). Existing arterial and venous lines will be used. Blood samples will be drawn at t=0 and then every two minutes during the first hour and every fifth minute for the second hour (t=2,4,6...56,58,60,65,70...110,115,120)

Sponsors

Karolinska University Hospital
Lead SponsorHospital

Study design

Allocation
Non-randomised trial
Intervention model
Single group
Primary purpose
Diagnosis
Masking
Open (masking not used)

Eligibility

Sex/Gender
All
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

- Patients treated in the ICU who have an existing, functioning arterial and venous lines - Informed consent to participate (can be given by next of kin when appropriate)

Exclusion criteria

Unwillingness to participate, Unable to obtain informer consent. Terminal liver insufficiency.

Outcome results

None listed

Source: ANZCTR · Data processed: Feb 19, 2026