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Renal Replacement Therapy Plus Extracorporeal Carbon Dioxide Removal

Not Applicable
Completed
Conditions
Acute Kidney Injury
Interventions
Device: RRT plus ECCO2R
Registration Number
NCT02595619
Lead Sponsor
University of Turin, Italy
Brief Summary

This study aims to assess whether in patients with acute kidney injury (AKI) requiring mechanical ventilation, a strategy that combines renal replacement therapy (RRT) and extracorporeal carbon dioxide removal (ECCO2R) allows reduction of tidal volume and plateau pressure. Systemic Inflammatory Response and Safety Variables will also be analysed.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
14
Inclusion Criteria
  • Patients with acute kidney injury (AKI) requiring renal-replacement therapy and mechanical ventilation of duration ≥ 48 hours
Exclusion Criteria
  • little chance of survival at 24 h (according to clinical judgment), pregnancy, mechanical ventilation with expected duration lower than 48h, age under 18 and over 90

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
RRT plus ECCO2RRRT plus ECCO2R-
Primary Outcome Measures
NameTimeMethod
Achievement of tidal volume reduction to 4 mL/kg while maintaining pH and PaCO2 to ± 20% of baseline values72 hours
Secondary Outcome Measures
NameTimeMethod
Assessment of the changes in PaCO272 hours
Assessment of the changes in pH72 hours
Assessment of the changes in PaO272 hours
Evaluation of inflammatory mediators release in plasma samples of patients72 hours

Plasma Concentrations of interleukin 6, interleukin 8, interleukin 1 beta, tumor necrosis factor alpha

Trial Locations

Locations (1)

Azienda Ospedaliera Città della Salute e della Scienza di Torino

🇮🇹

Turin, Italy

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