Intravascular blood volume calculated fluid therapy versus standard fluid therapy in acute pancreatitis
- Conditions
- Health Condition 1: K85- Acute pancreatitisHealth Condition 2: null- Patients with predicted severe acute pancreatitis within 3 days of onset of illness
- Registration Number
- CTRI/2017/12/010868
- Lead Sponsor
- All India Institute of Medical Sciences
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Open to Recruitment
- Sex
- Not specified
- Target Recruitment
- 0
1.All consecutive patients with predicted severe acute pancreatitis diagnosed as per revised Atlanta criteria will be included in the study.
2.Hospitalisation within 72 hours of onset of acute pancreatitis
1.Age < 18 years or > 60 years
2.Patients with Grade 3 / Grade 4 organ failure (as defined by modified marshall classification at enrolment).
3.Patients with underlying co-morbid cardiac, renal, hepatic disease or malignancy.
4.Patients admitted after 72 hours of onset of acute pancreatitis.
5.Pregnancy
6.Refusal to provide consent to participate in the study
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method Composite outcome meeting (2 out of the 4 ) adequate perfusion goals : <br/ ><br>SBP more than 100 mm Hg or 40 mm rise from baseline <br/ ><br>Pulse less than 100 beats per min <br/ ><br>Urine output more than 0.5 ml per kg per hr <br/ ><br>Lactate to normal values within 24 hours of resuscitation. <br/ ><br>Co-primary outcome will be measured by improvement in SIRS. <br/ ><br>Secondary outcome will be measured by improvement of organ failure at 72 hours and after 7 days of onset of AP and the difference in the adverse events between the groups <br/ ><br>Timepoint: from illness onset till 72 hours and 7 days
- Secondary Outcome Measures
Name Time Method Secondary outcome will be measured by improvement of organ failure at 72 hours and after 7 days of onset of AP and the difference in the adverse events between the groupsTimepoint: From illness onset till 72 hours and 7 days