Acute Kidney Injury
Conditions
Keywords
Renal, Acute Kidney Injury, AKI, Levosimendan, Simdax, Renal perfusion, Mortality, Renal flow
Brief summary
We hypothesise that levosimendan will have a positive influence on renal function during acute kidney injury in adult intensive care patients.
Detailed description
The purpose of this trial is to evaluate whether the use of levosimendan is able to improve renal function.
Interventions
Verum therapy
Placebo therapy to safeguard blinding
Sponsors
Study design
Eligibility
Inclusion criteria
* Clinically diagnosed adult patients with AKI
Exclusion criteria
* Failure to obtain written consent to participate from patient or legal representative (by deferred consent) * Patients entering the ICU for post-operative observation with an estimated length of stay less than 24 hrs. * Moribund patients * Patients under the age of 18 * Pregnancy * Patients suffering from pre-existing renal failure (elevated NGAL values without apparent rise in creatinine values) * Renal replacement therapy initiated before admission due to Chronic Kidney Disease * Hypersensitivity to levosimendan experienced by previous treatments * Severe hypotension and tachycardia * Significant mechanical obstruction affecting ventricular filling or outflow or both. * Severe hepatic impairment (ALAT/ASAT\>400U/L) * Patients will be excluded if the treating physician judges that study participation is undesirable for medical, medical-ethical or other reasons * Known history of Torsades de Pointes
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in renal function | Baseline and every 24 hours until end ICU stay | Daily analysis of kidney function expressed in endogenous creatinine clearance |
Countries
Netherlands
Contacts
VieCuri Medical Centre