Aneurysmal Subarachnoid Hemorrhage, Hyperchloremia
Conditions
Keywords
saline, balanced crystalloids
Brief summary
The goal of this pilot randomized trial is to compare the effect of Multiple Electrolytes Injection Ⅱand saline on the occurrence of hyperchloremia within 72h of randomization in patients with aneurysmal subarachnoid hemorrhage(aSAH). A secondary aim was to provide data for the design and power of a large-scale, multicenter, randomized controlled trial.
Detailed description
Background: The isotonic solutions commonly used in ICUs are saline (0.9% sodium chloride) and balanced crystalloid solutions (Ringer's solution, multiple electrolytes injection, etc.). Studies have shown that the lower chloride in balanced crystalloids compared to saline may result in lower risks of hyperchloremia, acute kidney injury and poor clinical outcome in critical ill patients. As a balanced crystalloid, few evidence was found on multiple electrolytes solution II in patients with aneurysmal subarachnoid hemorrhage (aSAH). Purpose This study aimed to evaluate the security and feasibility of the study. Moreover, compare the impact of multiple electrolytes injection and saline solution on hyperchloremia in aSAH patients. Method As a pilot trial of a prospective randomized controlled study, patients with aneurysmal subarachnoid hemorrhage randomly assigned to receive saline or multiple electrolytes injection II as maintenance fluid for 3 days during ICU stay.
Interventions
DRUGmaintenance fluid
Patients are randomized to receive ether Multiple electrolytes injection II or Normal Saline for maintenance fluid during the 72 hours after enrollment. Resuscitation fluids and fluids used for drug delivery are not limited.
Sponsors
Capital Medical University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Patients with aneurysmal subarachnoid hemorrhage; * Expected ICU stay \> 24 hours.
Exclusion criteria
* Under 18 years of age; * Pregnancy; * Patients at imminent risk for death within 24 hours; * Patients with a known history of serious cardiovascular, respiratory, kidney, liver, blood, or immune disease; * Azotemia (BUN \> 200μmol/L), hypokalemia (blood potassium \< 2.5mmol/L), hypocalcemia (blood calcium \< 1.8mmol/L); * Patients routinely receiving renal replacement therapy (RRT); * Declined to participate in the study.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Hyperchloremia | At 0 hours, 24 hours, 48 hours, 72 hours after enrollment | The incidence of hyperchloremia |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Hyperchloremia acidosis | At 0 hours, 24 hours, 48 hours, 72 hours after enrollment | Incidence of hyperchloremia acidosis |
| AKI | recorded at 24 hours, 48 hours, 72 hours after enrollment | Incidence of acute kidney injury |
| RRT | recorded at 24 hours, 48 hours, 72 hours after enrollment | Incidence of new renal replacement therapy |
| hospital length of stay | recorded at discharge or 28 days after enrollment | hospital length of stay |
| hospitalization expense | recorded at discharge or 28 days after enrollment | money spend during this hospitalization |
Countries
China
Outcome results
None listed