Cardiosurgery Clinical Trial
— CLM-CARDOfficial title:
Continuous Monitoring of Lactate in High-risk Cardiac Surgery
The major combined interventions are between challenging and high-risk aspects of current
cardiosurgical practice. The results of operation may be hampered by unexpected anatomic and
technical features influencing the surgical approach as well as cardiopulmonary bypass
(CPB), anesthesia, and respiratory support.
Plasma lactate concentration is a routine clinical indicator of the tissue oxygen shortage,
and is routinely monitored in virtually all in-risk surgical and ICU patients. However, the
discrete measurement of these values among with other biochemical values has a major
drawback and continuous measurement can be beneficial.
The aim of our study is to assess the clinical usefulness and rationale for routine use of
continuous monitoring of lactate in high-risk combined/complex cardiac surgery.
Status | Completed |
Enrollment | 21 |
Est. completion date | November 2015 |
Est. primary completion date | November 2015 |
Accepts healthy volunteers | No |
Gender | Both |
Age group | 18 Years and older |
Eligibility |
Inclusion Criteria: - Informed consent. - Age above 18 years. - Presence of coronary artery disease and/or valve regurgitation and/or stenosis - Elective complex (two and more valves) and combined (valve + CABG) cardiac surgery requiring CPB with expected duration > 90 min. Exclusion Criteria: - Participation in any other study. - Morbid obesity (BWI > 40). |
Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Diagnostic
Country | Name | City | State |
---|---|---|---|
Russian Federation | City hospital # 1 / Northern State Medical University, | Arkhangelsk |
Lead Sponsor | Collaborator |
---|---|
Northern State Medical University |
Russian Federation,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Hyperlactatemia | Presence of hyperlactatemia (> 2.0 mmol/l) in the intra- and postoperative period. | 0-24 hrs | No |
Secondary | Cardiac index | The incidence of low cardiac index (< 2,5 l/min/m2) The organ failure is to be diagnosed according to the well defined criteria | 0-24 hrs | No |
Secondary | Acute kidney injury | The incidence of acute kidney injury according to KDIGO criteria | 0-24 hrs | No |
Secondary | Respiratory distress | The incidence of acute respiratory distress syndrome (PaO2 / FiO2 < 300 mm Hg) | 0-24 hrs | No |
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