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Improvement of hemodynamics with the ADVOS Therapy

Not yet recruiting
Conditions
Critical ill patients in the IC
Registration Number
DRKS00031279
Lead Sponsor
niklinik RWTH Aachen
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Pending
Sex
All
Target Recruitment
18
Inclusion Criteria

Indication for multiorgan support with ADVOS therapy

Exclusion Criteria

Age < 18 years
Pregnancy
Contraindication for ADVOS therapy
Moribund patient (life expectancy < 24 hours)

Study & Design

Study Type
observational
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Composite outcome of acid-base balance correction and reduction of catecholamine dose after three consecutive 24-hour ADVOS sessions
Secondary Outcome Measures
NameTimeMethod
Reduction in serum lactate levels<br>Reduction in cytokine levels (IL-6, IL-10)<br>Changes in regional oxygen saturation (rSO2) (through in-vivo optical spectroscopy: i.e., INVOS system) <br>Hemodynamic changes during connection to and disconnection from the ADVOS multi (through Transpulmonary Thermodilution: i.e., PiCCO)<br>Feasibility of ultrafiltration (% of patients reaching 80% of the target fluid removal)<br>Improvement of pulmonary edema and capillary leak (i.e., reduction of EVLWI and PVPI)<br>Removal of water-soluble and protein-bound substances (e.g., bilirubin, creatinine, BUN)<br>ICU-LOS<br>28-day, ICU- and Hospital-Mortality<br>
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