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临床试验/NCT04184401
NCT04184401已完成4 期

Effect of Albumin Administration Strategy for Ascites Replacement on Time to 1st Flatus After Liver Transplantation

Seoul National University Hospital1 个研究点 分布在 1 个国家目标入组 72 人开始时间: 2020年1月1日最近更新:
适应症
干预措施
相关药物

试验速览

阶段
4 期
状态
已完成
入组人数
72
试验地点
1
主要终点
Time to 1st diet

研究概览

简要总结

The aim of this study is to evaluate difference in the rate of recovery of intestinal motility according to different ascites replacement strategy after living donor liver transplantation.

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Prevention
盲法
Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)

入排标准

年龄范围
19 Years 至 —(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Adults (19 years or older)
  • Elective living donor liver transplantation

排除标准

  • Previous abdominal surgery
  • Renal failure requiring renal replacement therapy
  • Contraindications for 5% albumin use
  • Condition with potential risk caused by increased circulating plasma (heart failure, renal failure combined with oliguria, pulmonary edema)
  • Hemolytic anemia
  • Contraindications for Hartmann solution
  • Progressive lactic acidosis
  • Hypervolemia
  • Hypernatremia

研究组 & 干预措施

Replacement with albumin

Experimental
  1. Check drain amount every 4 hour after SICU admission
  2. Replacement of 70% of drainage from previous 4 hours over next 4 hours
  • 30% of the drainage with 5% albumin
  • 40% of drainage with Hartmann's solution
  • If, serum K + level> 5mEq/L, replace with 0.9% saline instead of Hartmann solution
  • If, serum albumin level is below 2.6 g/dL, inject 100mL of 20% albumin

干预措施: Ascites replacement with albumin and hartmann's solution (Drug)

Replacement with Hartmann's solution

Active Comparator
  1. Check drain amount every 4 hour after SICU admission
  2. Replacement of 70% of drainage from previous 4 hours with Hartmann's solution over next 4 hours
  • If, serum K + level> 5mEq/L, replace with 0.9% saline instead of Hartmann solution
  • If, serum albumin level is below 2.6 g/dL, inject 100mL of 20% albumin

干预措施: Ascites replacement with hartmann's solution (Drug)

结局指标

主要结局

Time to 1st diet

时间窗: within 4 weeks

Interval between SICU admission and 1st diet

Time to 1st flatus

时间窗: within 4 weeks

Interval between SICU admission and 1st flatus

次要结局

未报告次要终点

研究者

申办方类型
Other
责任方
Principal Investigator
主要研究者

Ho Geol Ryu

Associate Professor

Seoul National University Hospital

研究点 (1)

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