Continuous Renal Replacement Therapy in the Setting of Orthotopic Liver Transplant
- Conditions
- Acute Kidney InjuryEnd Stage Kidney DiseaseLiver DiseaseChronic Kidney Disease
- Interventions
- Procedure: Renal replacement therapy
- Registration Number
- NCT01619449
- Lead Sponsor
- University of Chicago
- Brief Summary
To evaluate the efficacy of continuous renal replacement therapy (CRRT) during orthotopic liver transplantation (OLT) in clearing excess solutes and improving acid-base parameters. The investigators hypothesize that the use of intra-operative CRRT in OLT recipients is associated with increased solute removal and improved acid-base statues when compared to controls who do not receive CRRT
- Detailed Description
as above
Recruitment & Eligibility
- Status
- WITHDRAWN
- Sex
- All
- Target Recruitment
- Not specified
- Age 18 or older and able to sign consent (or surrogate)
- Receiving liver or combined liver-kidney transplant
- eGFR < or equal to 40 ml/min immediately prior to transplant or currently on any form of renal replacement therapy for acute kidney injury or end-stage renal disease
- Pre-operative potassium of < or equal to 5.5 mEq/L
- Pre-operative hemoglobin < or equal to 7 g/dL
- Pre-operative weight > or equal to 125 kig
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Renal replacement therapy Renal replacement therapy Liver transplant recipients who receive continuous renal replacement therapy intra-operatively. No CRRT Renal replacement therapy This arm consists of standard of care without CRRT in the OR for OLT
- Primary Outcome Measures
Name Time Method Solute Clearance Intra-operative time To compare the clearance of solutes (ie. potassium, lactate, creatinine and blood urea nitrogen) by CRRT in renally impaired OLT recipients to OLT recipients who do not receive CRRT
- Secondary Outcome Measures
Name Time Method Renal function and patient outcomes 1 year post-operatively To compare long-term maintenance of renal function (12 months) and other health outcomes in OLT recipients who received CRRT versus OLT recipients who did not receive OLT
Trial Locations
- Locations (1)
University of Chicago Medicine
🇺🇸Chicago, Illinois, United States