Intensive care patients after cardiac surgery requiring volume therapy
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1) Patients undergoing elective cardiac surgery using cardiopulmonary bypass including coronary artery bypass grafting (CABG), valve repair or replacement, and Aorta ascendens surgery 2) Age > 18 years 3) Written informed consent obtained Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range
Exclusion criteria
Exclusion criteria: 1) Known allergy to Hydroxyethyl starch or Albumin 2) Aspirin use less than 3 days before surgery 3) GPIIbIIIa antagonists use less than 7 days before surgery 4) Coagulation disorders (INR > 1.2, aPTT > 40sec, platelet count 40 6) Left ventricular ejection fraction 1.5mg/dl 8) Proven heparin induced thrombocytopenia (Danaparoid, Lepirudin use less than 1 month) 9) Deny of consent
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: The aim of the study is to compare three different regimens for volume replacement during cardiac surgery, e.g. Albumin, HES 130/0.4, and Ringer Lactate. The main outcome parameter is the cumulative volume of mediastinal blood loss 24 hours after cardiopulmonary bypass.;Secondary Objective: Laboratory parameters • Hemoglobin concentration (Hb) • Prothrombin time (PTT) • Hb of mediastinal blood loss • ROTEG Analysis: .The ROTEG analyses will be performed on a Rotational Thromboelastograph (ROTEG, Pentapharm, Munich, Germany) and the samples will be analyzed 120 seconds after the blood was drawn from the intravenous catheter. Both INTEG and EXTEG analyses will be performed according to standard procedure recommended by the manufacturer. o Clotting Time (CT) reflecting the initiation of the coagulation, o Clot Formation Time (CFT) reflecting the rate of clot formation o A15 describing the strength of the clot 15 minutes after initiation of the coagulation • pH-value, pCO2, BE, Lactate, Serum Kreatinin • volume of study drug • fluid balance POD 1 and 2 • reoperation caused by bleeding • duration of intubation, reintubation • length of intensive care unit stay • blood product use • 30 days mortality;Primary end point(s): Cumulative volume of mediastinal blood loss 24 hours after cardiopulmonary bypass | — |
Countries
Austria