Extracorporeal Membrane Oxygenation Clinical Trial
Official title:
Treatment of Extracorporeal Membrane Oxygenation in Severe Poisoning
This is a prospective, multicentre clinical study to determine the value of the Extracorporeal Membrane Oxygenation in the treatment of critically ill poisoning patients and whether there are significant differences in the prognosis of different types or doses of poison/drug poisoning. These conclusions may guide us on how to correctly perform Extracorporeal Membrane Oxygenation, including whether or when should this treatment enabled, the mode of Extracorporeal Membrane Oxygenation, whether to combine blood purification, treatment schedule and disembarkation time.
Status | Recruiting |
Enrollment | 60 |
Est. completion date | November 26, 2025 |
Est. primary completion date | November 26, 2025 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 14 Years and older |
Eligibility | Inclusion Criteria: - Severe intoxication resulting in cardiac arrest, refractory malignant arrhythmia, refractory shock, refractory heart failure, respiratory failure. - Denying other available methods. - Indications for the use of the Extracorporeal membrane oxygenation exist. Exclusion Criteria: - Severely impaired state of consciousness prior to cardiac arrest; - Multiple organ dysfunction; - Uncontrolled traumatic bleeding, massive gastrointestinal bleeding, and active intracranial hemorrhage; - Left ventricular thrombosis; Severe aortic insufficiency. |
Country | Name | City | State |
---|---|---|---|
China | Affiliated Hospital of Nantong University | Nantong | Jiangsu |
Lead Sponsor | Collaborator |
---|---|
Affiliated Hospital of Nantong University |
China,
Aso S, Matsui H, Fushimi K, Yasunaga H. In-hospital mortality and successful weaning from venoarterial extracorporeal membrane oxygenation: analysis of 5,263 patients using a national inpatient database in Japan. Crit Care. 2016 Apr 5;20:80. doi: 10.1186/s13054-016-1261-1. — View Citation
Masson R, Colas V, Parienti JJ, Lehoux P, Massetti M, Charbonneau P, Saulnier F, Daubin C. A comparison of survival with and without extracorporeal life support treatment for severe poisoning due to drug intoxication. Resuscitation. 2012 Nov;83(11):1413-7. doi: 10.1016/j.resuscitation.2012.03.028. Epub 2012 Mar 31. — View Citation
Mohan B, Gupta V, Ralhan S, Gupta D, Puri S, Mahajan R, Goyal A, Chhabra S, Tandon R, Aslam N, Wander GS, Singh B. Impact of extra-corporeal membrane oxygenation on outcome of aluminium phosphide poisoning complicated with myocardial dysfunction. Clin Toxicol (Phila). 2019 Nov;57(11):1095-1102. doi: 10.1080/15563650.2019.1584297. Epub 2019 Mar 11. — View Citation
Parker BM, Rao T, Matta A, Quitanna M, Reynolds HN, Stein DM, Haase D. Loperamide induced cardiac arrhythmia successfully supported with veno-arterial ECMO (VA-ECMO), molecular adsorbent recirculating system (MARS) and continuous renal replacement therapy (CRRT). Clin Toxicol (Phila). 2019 Nov;57(11):1118-1122. doi: 10.1080/15563650.2019.1580370. Epub 2019 Feb 26. — View Citation
Tang X, Sun B, He H, Li H, Hu B, Qiu Z, Li J, Zhang C, Hou S, Tong Z, Dai H. Successful extracorporeal membrane oxygenation therapy as a bridge to sequential bilateral lung transplantation for a patient after severe paraquat poisoning. Clin Toxicol (Phila). 2015 Nov;53(9):908-13. doi: 10.3109/15563650.2015.1082183. Epub 2015 Aug 28. — View Citation
Weiner L, Mazzeffi MA, Hines EQ, Gordon D, Herr DL, Kim HK. Clinical utility of venoarterial-extracorporeal membrane oxygenation (VA-ECMO) in patients with drug-induced cardiogenic shock: a retrospective study of the Extracorporeal Life Support Organizations' ECMO case registry. Clin Toxicol (Phila). 2020 Jul;58(7):705-710. doi: 10.1080/15563650.2019.1676896. Epub 2019 Oct 16. — View Citation
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Death rate | Death rate is used to assess the treatment capacity of Extracorporeal membrane oxygenation. | through study completion, assessed up to 3 year | |
Primary | Complication | Complication is used to assess the side effects of Extracorporeal membrane oxygenation. | From date of randomization until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 10 days | |
Primary | Partial pressure of oxygen | PO2 is used to indicate the state of internal respiration. | random time before performing extracorporeal membrane oxygenation | |
Primary | Partial pressure of oxygen | PO2 is used to indicate the state of internal respiration. | immediately after performing extracorporeal membrane oxygenation | |
Primary | Oxygen saturation | SO2 is used to indicate the state of internal respiration. | Before perform the extracorporeal membrane oxygenation | |
Primary | Oxygen saturation | SO2 is used to indicate the state of internal respiration. | immediately after performing extracorporeal membrane oxygenation |
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