ALL CHILDREN AGE 'LESS THAN 10 YEARS OF AGE' WITH CONGENITAL HEART PROCEDURE SUBJECT TO cardiac surgery in whom the diuretic ARE GIVEN IN ACCORDANCE WITH THE FOLLOWING CONTINUOUS INFUSION PROTOCOL Cardiac surgery with clamping> 90 minutes Interventions interventional cardiology with hybrid approach and inotropic score> 20 after the procedure Capillary leak syndrome postoperative and / or signs of fluid overload MedDRA version: 14.1 Level: SOC Classification code 10007541 Term: Cardiac dis
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: ALL CHILDREN AGE 'LESS THAN 10 YEARS OF AGE' WITH CONGENITAL HEART PROCEDURE SUBJECT TO cardiac surgery in whom the diuretic ARE GIVEN IN ACCORDANCE WITH THE FOLLOWING CONTINUOUS INFUSION PROTOCOL Cardiac surgery with clamping> 90 minutes Interventions interventional cardiology with hybrid approach and inotropic score> 20 after the procedure Capillary leak syndrome postoperative and / or signs of fluid overload Are the trial subjects under 18? yes Number of subjects for this age range: 100 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: - PREOPERATIVE RENAL DYSFUNCTION - DIURETICS INFUSION OF HIGH-DOSE FOR EXTENDED PERIODS (more than one week) DURING PREOPERATIVE - NOTE A dialysis Extracorporeal ARRIVAL IN ICT - A STATEMENT IN PERITONEAL DIALYSIS PATIENTS IN ALL OLIGOANURICO 'ARRIVAL IN ICT - NOTE A Extracorporeal membrane oxygenation ARRIVAL IN ICT
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: The primary objective of our study will be: check whether there is a difference in urinary output of at least 1 ml / kg / h at the end of the 1st postoperative day (ie, the diuresis from the moment of ICT at the end of the 1st day , 6.00 am two mornings after surgery).;Secondary Objective: 1) Check the renal function in the two study groups by renal plasma biomarkers (creatinine, NGAL) and classification pRIFLE at the end of the first post-operative day. 2) Determination of biomarkers associated with signs of heart failure and reduced systemic perfusion (lactate, BNP, base excess) and inotropic score at the end of the first post-operative day to test the association between different diuretics and cardiac function.;Primary end point(s): - The primary objective of our study will be: check whether there is a difference in urinary output of at least 1 ml / kg / h at the end of the 1st postoperative day (ie, the diuresis from the moment of ICT at the end of the 1st day, 6.00 am two mornings after surgery).;Timepoint(s) of evaluation of this end point: cccc | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): cccc;Timepoint(s) of evaluation of this end point: ccc | — |
Countries
Italy
Contacts
Ospedale Pediatrico Bambino Gesù