Systemic inflammatory response and associated multiorgan failure that follows cardiopulmonary bypass for cardiac surgery MedDRA version: 9.1 Level: LLT Classification code 10062357 Term: SIRS MedDRA version: 9.1 Level: LLT Classification code 10066123 Term: Cardiopulmonary bypass MedDRA version: 9.1 Level: LLT Classification code 10018910 Term: Haemolysis MedDRA version: 9.1 Level: LLT Classification code 10027803 Term: MOF
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: All patients over 16 years of age undergoing CPB for elective cardiac surgery at the Royal Brompton Hospital, London 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: Lack of informed consent Pregnancy Cyanotic congenital heart disease (high haematocrit increases haemolysis) Patients undergoing other extracorporeal interventions (ECMO, VAD, pre-admission dialysis) Patients with congenital haemoglobinopathies (e.g. thalassaemia, cryoglobinuria) Ppatients with disorders of iron metabolism (e.g. haemochromatosis) Religious objections to transfusion of a plasma derived product Patients with known blood borne infection. Patients with known hypersensitivity to human albumin solution or gelofusine
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: To evaluate whether administration of human albumin solution in the cardiopulmonary bypass prime solution will reduce free haem and free haemoglobin following cardiac surgery thereby reducing inflammation, organ dysfunction, and length of stay on the intensive care unit;Secondary Objective: ;Primary end point(s): Length of stay on the Intensive Care Unit | — |
Countries
United Kingdom