Patients receiving Open Heart Surgery
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1) Patients planning to perform open heart surgery under a heart-lung machine 2) Patients who are aged 20 or older when acquiring consent 3) Patients who have obtained document consent with their own freedom after fully understood participation in this research
Exclusion criteria
Exclusion criteria: 1)Patients who underwent emergency surgery 2)Patients with a history of hypersensitivity to tolvaptan components or similar compounds (such as mozavaptan hydrochloride) 3)Patients receiving desmopressin acetate hydrate (nocturia due to nocturia in men) 4)Patients with a history of hypersensitivity to sulfonamide derivatives 5)Patients with heart failure and markedly decreased EF (EF148 mEq/L) before tolvaptan administration 13)Patients with hyperkalemia (K>5.3 mEq/L) before tolvaptan administration 14)Patients who are pregnant or may be pregnant 15)Patients who are participating in or planning to participate in other clinical trials (intervention stu dies) or clinical trials 16)Patients who are judged by the investigator (subinvestigator) to be inappropriate for participation in this study
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Cumulative urine volume 1-2 days after surgery | — |
Secondary
| Measure | Time frame |
|---|---|
| Presence or absence of postoperative complications -electrolyte abnormality -atrial fibrillation -acute renal failure -postoperative death Time until postoperative complications weight change -Weight loss on the 1st and 2nd days after surgery -Days to return to preoperative body weight Change of urine volume Daily urine volume on the 2nd, 3rd and 4th days after surgery Drug doses on postoperative day 4 and until hospital discharge (postoperative day 5-14 or discharge, whichever comes first) -Torvaptane -Catecholamine -Other diuretics -Basic infusion Artificial respiration management time Days of ICU stay All hospitalization period | — |
Contacts
Kobe City Medical Center General Hospital