Antibiotics, Extracorporeal Membrane Oxygenation, Intensive Care Unit, Sepsis
Conditions
Keywords
Extracorporeal Membrane Oxygenation, Sepsis, Antibiotics, Pharmacokinetic, Intensive Care Unit
Brief summary
The PHARMECMO study is a pilot, prospective, pharmacokinetic study, conducted in a cardiac surgery intensive care unit of 18 beds. Optimization of antibiotic therapy for extracorporeal membrane oxygenation (ECMO) patients remains a pharmacological challenge. Clinical studies suggest that individualized dosing strategies and therapeutic drug monitoring could facilitate the achievement of adequate antibiotic concentration. The objective of this pilot study was to observe the pharmacokinetic characteristics of commonly used antibiotics in intensive care for patients treated with extracorporeal membrane oxygenation.
Interventions
Measurement of the concentration of antibiotics administered as part of the routine care of intensive care patients
Sponsors
Study design
Eligibility
Inclusion criteria
* Age \> 18 years * Extra corporeal membrane oxygenation treatment * Parenteral antibiotherapy for known or suspected sepsis * Informed consent
Exclusion criteria
* Refusal of participation * Pregnancy * Burned patient * Steady state conditions not reached * Non-intravenous administration of antibiotherapy
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Minimum Antibiotics plasma concentration (Cmin) (C min) | Up to 24 hours | Dosage under steady state conditions of every antibiotics plasma concentration just before the next administration in patients with sepsis and treated by ECMO |
| Medium Antibiotics plasma concentration (CT 50) | Up to 24 hours | Dosage under steady state conditions of every antibiotic plasma concentration in the middle of the interval between two administration (CT 50) in patients with sepsis and treated by ECMO |