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Comparison of Two Gelatine Solutions

Només els usuaris registrats poden traduir articles
Inicieu sessió / registreu-vos
L'enllaç es desa al porta-retalls
EstatCompletat
Patrocinadors
B. Braun Melsungen AG

Paraules clau

Resum

The aim of volume replacement is to compensate a reduction in the intravascular volume e.g. during surgery and to counteract hypovolemia in order to maintain hemodynamics and vital functions. To achieve this, different plasma substitutes are available: Albumin, dextran, hydroxyethylstarches and gelatine. The aim of this study is to demonstrate that acid-base alterations during elective abdominal surgery can be reduced by the use of a new gelatine solution.

Dates

Darrera verificació: 10/31/2013
Primer enviat: 01/01/2012
Inscripció estimada enviada: 01/17/2012
Publicat per primera vegada: 01/23/2012
Última actualització enviada: 11/25/2013
Publicació de l'última actualització: 11/26/2013
Data d'inici de l'estudi real: 11/30/2011
Data estimada de finalització primària: 12/31/2012
Data estimada de finalització de l’estudi: 12/31/2012

Condició o malaltia

Hypovolemia

Intervenció / tractament

Drug: balanced gelatine solution

Drug: non-balanced gelatine solution

Fase

Fase 3

Grups de braços

BraçIntervenció / tractament
Experimental: balanced gelatine solution
isotonic colloidal volume substitute
Drug: balanced gelatine solution
Gelofusine balanced combined with Sterofundin ISO
Active Comparator: non-balanced gelatine solution
colloidal volume substitute
Drug: non-balanced gelatine solution
Gelofusine 4% combined with NaCl 0.9%

Criteris d'elegibilitat

Edats elegibles per estudiar 18 Years Per a 18 Years
Sexes elegibles per estudiarAll
Accepta voluntaris saludables
Criteris

Inclusion:

- Male or female patients >= 18 years of age and <= 90 years of age. Women of child bearing potential must test negative on standard pregnancy test.

- Patients scheduled to undergo elective abdominal surgery (e.g. Rectal resection, liver resection, open bowl resection, duodenopancreatectomy reconstitution).

- Scheduled intraoperative volume requirement of at least 15 ml / kg body weight (BROCA) gelatine solution

- Provision of voluntary consent to participate in the study, following a full explanation of the nature and purpose of the study, by signing the informed consent form approved by the Institutional Ethics Committee (IEC) prior to all evaluations.

Exclusion:

- Patients of ASA-class > III

- Known hypersensitivity to gelatine or to any of the constituents of the solution

- Patients treated with other colloid solutions and / or blood products 24 hours prior to surgery

- Patients on hemodialysis

- Patients suffering from decompensated renal function (i.e. serum creatinine > 3.0 mg/dl)

- Patients suffering from Hypervolemia Hyperhydration Severe blood coagulation disorders Hypernatremia (serum(Na+) > 150 mmol/L) Hyperchloremia (serum(Cl-) > 110 mmol/L)

- Estimated perioperative need for blood products of 3,5 ml / kg body weight (BROCA)

- Lactation period

- Simultaneous participation in another clinical trial

- Emergencies

Resultat

Mesures de resultats primaris

1. base excess [mmol/l] [Change from baseline at end of surgery, an expected average of 2 hours surgery]

2. chloride [mmol/l] [Change from baseline at end of surgery, an expected average of 2 hours surgery]

Mesures de resultats secundaris

1. arterial blood gase analyses [until 12 hours after surgery]

2. coagulation status [until 12 hours after surgery]

3. renal function [until 12 hours after surgery]

4. adverse events [until 12 hours after surgery]

5. hemodynamics (systolic and diastolic blood pressure) [until 12 hours after surgery]

6. time on ventilation [until 12 hours after surgery]

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