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Effects of Different Crystalloid Solutions for Extra-corporeal Membrane Oxygenator (ECMO) Priming

Not Applicable
Conditions
Acute Respiratory Failure
Registration Number
NCT02609360
Lead Sponsor
Fondazione IRCCS Ca' Granda, Ospedale Maggiore Policlinico
Brief Summary

Crystalloid solutions modify acid-base equilibrium according to their electrolyte composition. Moreover, it has been suggested that these alterations are generated by the difference between the solution strong ion difference (SID) and the plasma bicarbonate level. An increased risk of acute kidney injury and renal replacement therapy has been associated to the infusion of chloride rich crystalloids. This study aims to compare, in patients with acute respiratory failure undergoing ECMO support, the effects on acid-base status and renal function of crystalloids commonly employed for circuit priming to a balanced solution created with a SID equal to patients' bicarbonate level.

Detailed Description

Not available

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
45
Inclusion Criteria
  • Patients with Acute Respiratory Failure in need for ECMO treatment
Exclusion Criteria
  • None

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Primary Outcome Measures
NameTimeMethod
Variation in Acid-Base Equilibrium (Base Excess)First 24 hours after ECMO start
Secondary Outcome Measures
NameTimeMethod
Variation in Renal FunctionFirst 24 hours after ECMO start
Variation in Acid-Base Equilibrium (pH)First 24 hours after ECMO start

Trial Locations

Locations (1)

Fondazione IRCCS Ca' Granda - Ospedale Maggiore Policlinico

🇮🇹

Milan, Italy

Fondazione IRCCS Ca' Granda - Ospedale Maggiore Policlinico
🇮🇹Milan, Italy
Pietro Caironi, MD
Contact
+39-02-55033232
pietro.caironi@unimi.it

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