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临床试验/NL-OMON47009
NL-OMON47009已完成不适用

A Cross-over Randomized Controlled Trial; Pulmonary edema detection after fluid loading with blood versus saline in patients after CABG - TACO crossover TRIA

Academisch Medisch Centrum0 个研究点目标入组 16 人开始时间: 待定最近更新:

试验速览

阶段
不适用
状态
已完成
入组人数
16

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional

入排标准

年龄范围
18 至 64(—)

入选标准

  • 1. Age >18 years
  • 2. Elective (non-redo) coronary arterial bypass grafting surgery
  • 3. Reduced left ventricular ejection fraction (<55%)
  • 4. Transfusion of autologous blood (cell saver blood, 300ml, HCT60%, 30min)
  • 5. Informed consent

排除标准

  • 1. Patients with no indication for autologous RBC transfusion
  • 2. Patients with pulmonary hypertension, congenital heart disease, mitral or tricuspid valve disease.
  • 3. Contraindications for PAC placement; coagulopathy, bundle branch block, defibrillator or pacemaker (risk of displacement). External pacemaker placed during surgery is no exclusion criterium.
  • 4. Patients for acute, non-elective surgery
  • 5. Chronic kidney disease stage 4 or higher (eGFR < 30)
  • 6. Massive transfusion
  • 7. Previous randomization in the current trial
  • 8. Postoperative ongoing bleeding
  • 9. Bypass duration > 2 hours
  • 10. Infusion of high dose corticosteroids
  • 11. Hemodynamic instability with a mean arterial pressure (MAP) < 60 mmHg, central venous pressure > 20 mmHg or dependence on high dosages of inotropic drugs after admittance to the ICU
  • 12. Severe arrhythmias
  • 13. Development of severe pulmonary edema during infusion of autologous blood or saline.
  • 14. Elevated liver enzymes
  • 15. Iodine allergy

研究者

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