Arterial hypotension
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Newborn infants with a postmenstrual age of less than 44 weeks and 2. Diagnosis of arterial hypotension Are the trial subjects under 18? yes Number of subjects for this age range: F.1.2 Adults (18-64 years) no F.1.2.1 Number of subjects for this age range F.1.3 Elderly (>=65 years) no F.1.3.1 Number of subjects for this age range
Exclusion criteria
Exclusion criteria: 1. Major congenital malformations (affecting the renal and cardio-vascular system) 2. Bleeding disorders 3. Renal failure with oliguria 4. Hypervolaemia with lung oedema
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: We investigate in newborns (e.g. term or preterm infants of less than 44 weeks postmenstrual age) with arterial hypotension, whether plasma volume expansion by HES 130/0.4 (Voluven) leads to less fluid loss into the interstitial space and increases the blood pressure more effectively and permanently than the administration of crystalloid solutions .;Secondary Objective: 1. Need for an additional volume substitution due to arterial hypotension; 2. Urinary output; 3. Requirement for catecholamines to maintain blood pressure above the nominal value of postmenstrual age; 4. Intravascular volume expansion (evaluated as a decrease in haematocrit and serum proteins after the administration of fluids); 5. Respiratory compliance (estimated in a subgroup of patients on mechanical ventilation) ;Primary end point(s): a) Success rate: correction of arterial blood pressure above the nominal value of postmenstrual age for at least 2 hours after intervention. b) Extravascular fluid accumulation: estimated during the 48 hours after the intervention, judged by i) positive fluid balance and/or oedema formation, characterized by an oedema index | — |
Countries
Austria