Critical ill patients in the ICU
Conditions
Interventions
Group 1: Observational prospective register study.
Screening of patients should be performed 12-0 h prior to the use of ADVOS therapy. Subsequently, blood is drawn 6-0 h prior to the use of ADVOS ther
Sponsors
Uniklinik RWTH Aachen
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: Indication for multiorgan support with ADVOS therapy
Exclusion criteria
Exclusion criteria: Age < 18 years Pregnancy Contraindication for ADVOS therapy Moribund patient (life expectancy < 24 hours)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Composite outcome of acid-base balance correction and reduction of catecholamine dose after three consecutive 24-hour ADVOS sessions | — |
Secondary
| Measure | Time frame |
|---|---|
| Reduction in serum lactate levels Reduction in cytokine levels (IL-6, IL-10) Changes in regional oxygen saturation (rSO2) (through in-vivo optical spectroscopy: i.e., INVOS system) Hemodynamic changes during connection to and disconnection from the ADVOS multi (through Transpulmonary Thermodilution: i.e., PiCCO) Feasibility of ultrafiltration (% of patients reaching 80% of the target fluid removal) Improvement of pulmonary edema and capillary leak (i.e., reduction of EVLWI and PVPI) Removal of water-soluble and protein-bound substances (e.g., bilirubin, creatinine, BUN) ICU-LOS 28-day, ICU- and Hospital-Mortality | — |
Countries
Germany
Contacts
Public ContactTim- Philipp Simon
Uniklinik RWTH Aachen
Outcome results
None listed