Low Cardiac Output
Conditions
Keywords
coronary, artery, bypass, grafting, I.V., cardiac output
Brief summary
Prospective, randomized, open-label study to assess the efficacy and safety of hypertonic lactate solution, compared to Ringer's Lactate as fluid resuscitation to maintain hemodynamic stability in post-coronary artery bypass grafting(CABG) patients. Patients who were eligible received either hypertonic lactate solution or Ringer's Lactate post-CABG in the ICU when fluid resuscitation was needed.
Detailed description
Prospective, randomized, open-label study to assess the efficacy and safety of hypertonic lactate solution, compared to Ringer's Lactate as fluid resuscitation to maintain hemodynamic stability in post-coronary artery bypass grafting(CABG) patients. Patients who were eligible received either hypertonic lactate solution or Ringer's Lactate post-CABG observed in the first 12 hours in the ICU when fluid resuscitation was needed.
Interventions
Parenteral solution administered to a maximal volume of 10 ml/kg BW over the first 12 hours post-CABG
Parenteral solution administered to a maximal dose of 30 ml/kg BW over the first 12 hours post-CABG
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients who have given their written informed consent. * Male or female, aged 18-75 years. * Post-operative CABG on pump or off pump in ICU. * Patients who need fluid resuscitation.
Exclusion criteria
* Combined operations. * Need for intra aortic balloon pump (IABP). * Patients with severe arrhythmia (VT, AF rapid response, heart block). * Severe hemodynamic imbalance. * Severe bleeding and/or re-operation. * Liver dysfunction(SGOT and SGPT 2x normal). * Renal failure (Creatinine \>2 mg%).
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| hemodynamic stability | 12 hours post-CABG surgery |
Secondary
| Measure | Time frame |
|---|---|
| Safety of hypertonic sodium lactate for maintaining the hemodynamic stability | 12 hours post-CABG surgery |
Countries
Indonesia