hypertriglyceridemia-associated acute pancreatitis
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Aged 18-70 years; 2.Admission diagnosis of HTG-AP; 3. Within 72 hours of symptom onset; 4. Triglycerides (TG) >= 11.3 mmol/L at enrollment; 5. C-reactive protein (CRP) > 150 mg/L or APACHE II score >= 8 at enrollment; 6. Receiving invasive mechanical ventilation with endotracheal intubation for 48 hours.
Exclusion criteria
Exclusion criteria: 1. Without informed consent form; 2. Expected to die within 48 hours; 3. Known allergy to the study drug or any component of propofol; 4. Pregnancy or lactation; 5. History of psychiatric illness, or history of drug or alcohol abuse; 6. Severe central nervous system diseases, including stroke, intracranial hemorrhage, traumatic brain injury, malignant tumor, cerebral edema, hypoxic-ischemic encephalopathy, etc.; 7. Severe cardiovascular diseases, including unstable angina, acute myocardial infarction, left ventricular ejection fraction <30%, heart rate <50 beats/min, second-degree or third-degree atrioventricular block (patients with an implanted pacemaker may not be excluded); 8. Severe hepatic impairment (Child-Pugh Class C); 9. Chronic kidney disease (glomerular filtration rate <60 mL/min/1.73 m^2); 10. Current participation or participation within 30 days in other interventional drug studies.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Incidence of delirium within 28 days after enrollment; | — |
Secondary
| Measure | Time frame |
|---|---|
| Need for rescue sedation;Proportion of effective sedation duration;Number of days alive and free from mechanical ventilation within 14 days;28-day mortality;Adverse event;Triglyceride levels on days 1-7 after enrollment;Incidence of ventilator-associated pneumonia, accidental extubation rate, reintubation rate;Number of days without renal replacement therapy, number of days without vasoactive drug therapy; | — |
Countries
China
Contacts
The General Hospital of the Eastern Theater Command of the Chinese People's Liberation Army (Jinling Hospital Affiliated to Nanjing University Medical School)