Adult ICU Patient, Human Albumin Perfusion, Hypoalbuminemia, Stewart Approach for Acid Base Disorders
Conditions
Keywords
hypoalbuminemia, -acid base balance, acid base disorders, critical ill, Stewart approach, human albumin infusion
Brief summary
The primary purpose was to describe the acid base balance of ICU patients with severe hypoalbuminemia using Stewart's approach for acid base disorders, before and after an human albumin perfusion.
Detailed description
Prospective study, for ICU patient with severe hypoalbuminemia \< 20g/L, determining biological parameters from Stewart approach for acid base disorders (pH, SIDe, SIDa, SIG, Atot, PaCO2) before, and at 1hour, 2hours and 24 hours after a 200mL 20% human albumin perfusion (the consensus conference ANAES of 1995 recommands to correct hypoalbuminemia below 20g/L). Clinical parameters (respiratory, haemodynamic, neurologic) were also collected at the same times.
Interventions
Prospective study, for ICU patient with severe hypoalbuminemia \< 20g/L, determining biological parameters from Stewart approach for acid base disorders (pH, SIDe, SIDa, SIG, Atot, PaCO2) before, and at 1hour, 2hours and 24 hours after a 200mL 20% human al Clinical parameters (respiratory, haemodynamic, neurologic) were also collected at the same times.
Sponsors
Study design
Eligibility
Inclusion criteria
* serum albuminemia \< 20g/L * adult ICU patient * Arterial line
Exclusion criteria
* albumin allergy * pregnancy * congestive heart failure
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| changes in pH and independent pH determinants using Stewart approach | at 1 hour, 2 hours and 24 hours after a 200mL of 20% human albumin perfusion. |
Secondary
| Measure | Time frame |
|---|---|
| changes in neurologic parameters | at 1 hour, 2 hours and 24 hours after a 200mL of 20% human albumin perfusion. |
| changes in hemodynamic parameters | at 1 hour, 2 hours and 24 hours after a 200mL of 20% human albumin perfusion. |
| changes in respiratory parameters | at 1 hour, 2 hours and 24 hours after a 200mL of 20% human albumin perfusion. |
Countries
France