Vasoplegia Low blood pressure
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: -Diagnosed with heart failure (HF) in line with the European Society of Cardiology (ESC) guidelines -Left ventricular ejection fraction (EF) = 18 years.
Exclusion criteria
Exclusion criteria: -Incapacitated -Emergency operation -Need for moderate or high dosages of intravenous inotropic support (>4 gamma dobutamine or dopamine) and/or vasopression; -Severe tricuspid regurgitation; -Daily use of nitroglycerine or isosorbide dinitrate -Use of alpha blockers -Being Heparin Induced Thrombocytopenia (HIT) positive and citrate regional* anticoagulation is unavailable as an alternative anticoagulation method -Platelet count
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| - Change in systemic vascular resistance index after phenylephrine administration (delta SVRi) after CPB; - Reduction in the occurrence of Vasoplegic Syndrome (VS). | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary study parameters: - Delta SVRi in ICU; - Total dose of vasopressors administered; - Change in IL-6, IL-8, IL-10 levels; - Change in sublingual microcirculation; - Change in MAP after phenylephrine administration; - Hours on mechanical ventilation; - Hours on mechanical circulatory support; - Hours on postoperative renal replacement therapy; - End-organ damage (kidney dysfunction); - Change in total Sequential Organ Failure Assessment Score (SOFA); - Amount of used blood transfusion products; - Amount of used resuscitation fluids; - Length of Intensive Care Unit (ICU) stay; - Length of the hospital stay; - 30-Day hospital readmissions; - All-cause mortality. Cost effectiveness parameters: - Total administered dosage of vasopressors; - Amount of used blood transfusion products; - Amount of used resuscitation fluids; - Duration of surgery; - Length of ICU stay; - Length of the hospital stay; - Hospital readmissions. | — |
Countries
Netherlands
Contacts
Leids Universitair Medisch Centrum