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The effect of prophylactic preoperative probiotic therapy on perioperative endotoxin levels in cardiac surgery patients.

Conditions
Cardiac surgery patients.
Cardiovascular - Other surgery
Registration Number
ACTRN12605000572662
Lead Sponsor
Intensive Care Unit, RMH
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
ot yet recruiting
Sex
All
Target Recruitment
40
Inclusion Criteria

Patients scheduled for elective cardiac surgery requiring cardiopulmonary bypass will be approached for consent to participate in the study.

Exclusion Criteria

Current usage of a probiotic product (eg Yakult, which is freely available as a foodstuff), past history of asthma or recurrent urticaria, pregnancy, HIV infection, immunosupression and pre-existing intestinal disorder. The Lactobacillus acidophilus preparation to be used in this study contains a very small amount of MSG (total dose 20 mg/day, equivalent to 10% of the initial dose used to test for MSG sensitivity) and as a precaution, patients with asthma or recurrent urticaria will be excluded. As the Lactobacillus preparation contains live microrganisms, immunosupressed and pregnant patients will also be excluded.

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
The primary outcome variable of this study is endotoxin rise in the first 24 hours post-commencement of surgery[]
Secondary Outcome Measures
NameTimeMethod
Peak IL-6 levels in the first 24 hours post-operatively.[];The development of post-operative generalised inflammation and low systemic vascular resistance in the post-operative period.[]
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