Traumatic brain injury, infection, augmented renal clearance Traumatic brain injury, infection, increased renal function
Conditions
Interventions
None listed
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Age >17 and = 75 yearsBeing admitted to the Intensive Care with severe traumatic brain injury (GCS 3-8)Receiving ceftriaxone antibiotic as part of the SDD regime
Exclusion criteria
Exclusion criteria: No informed consent obtained from patient or legal representativeUrine creatinine clearance < 30 ml/min or anuriaKnown renal artery stenosisPatients with septic shock Patients with cardiogenic shockPatients with haemorrhagic shockUse of diuretics (including mannitol), beta-blockers, ACE-inhibitors and angiotensin II blockers while admitted to the ICU
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary outcome is the difference cardiac output between TBI patients with ARC and TBI patients with normal CrCl. | — |
Secondary
| Measure | Time frame |
|---|---|
| Renal echografic measurement: Renal perfusion, Acceleration, acceleration time and end-diastolic velocity. As well as dynamic perfusion measurements. Cystatine CInflammatory markers (leukocytes, CRP, thrombocytes)Markers of perfusion (lactate, hematocrit, central venous O2 saturation)Antibiotic concentrations | — |
Countries
Netherlands
Contacts
Elisabeth-TweeSteden Ziekenhuis