Vasopressin Versus Norepinephrine for the Management of Shock After Cardiac Surgery
NCT01505231 · Status: UNKNOWN · Phase: PHASE3 · Type: INTERVENTIONAL · Enrollment: 300
Last updated 2013-02-12
Summary
Vasoplegic syndrome after cardiac surgery is a common complication after cardiac surgery, with negative impact on patient outcomes and hospital costs. Pathogenesis of vasodilatory phenomenon after cardiac surgery remains a matter of controversy. Loss of vascular tone can be partly explained by the depletion of neurohypophyseal arginine vasopressin stores. The investigators hypothesized that the use of arginine vasopressin would be more effective on treatment of shock after cardiac surgery than norepinephrine, decreasing the composite end point of mortality and severe morbidity.
Conditions
- Shock
Interventions
- DRUG
-
Vasopressin
Blinded Vasopressin will be started if there is persistent hypotension, characterized by mean arterial pressure \<65 mmHg after fluid replacement.
- DRUG
-
Norepinephrine
Blinded Norepinephrine will be started if there is persistent hypotension, characterized by mean arterial pressure \<65 mmHg after fluid replacement
Sponsors & Collaborators
-
University of Sao Paulo
lead OTHER
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- QUADRUPLE
- Model
- CROSSOVER
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2012-01-31
- Primary Completion
- 2013-02-28
- Completion
- 2013-05-31
Countries
- Brazil
Study Locations
More Related Trials
-
Weaning of Norepinephrine Guided by the Dynamic Arterial Compliance in Cardiac Surgery Post Operative.
NCT02479529 ·Status: COMPLETED ·Phase: PHASE3
-
Small Doses of Pituitrin Versus Norepinephrine for the Management of Vasoplegic Syndrome in Patients After Cardiac Surgery
NCT03106831 ·Status: UNKNOWN ·Phase: NA
-
Low Dose Vasopressin vs Phenylephrine in Cardiac Surgery
NCT04602767 ·Status: RECRUITING ·Phase: PHASE4
-
Evaluation of the HPA Axis in Patients With Vasoplegic Syndrome After Cardiac Surgery
NCT06371976 ·Status: RECRUITING
-
Effect of Vasopressin on Tissue Oxygen Saturation in Cardiac Surgery Patients During Cardiopulmonary Bypass
NCT01532505 ·Status: UNKNOWN
-
Natriuretic Peptides - Predictors of In-hospital and Long-term Major Adverse Cardiac Events After Emergency Surgery?
NCT00942786 ·Status: COMPLETED
-
EFFECT OF VASOPRESSORS ON FLUID CHALLENGE PERSISTENCE AN OBSERVATIONAL STUDY IN PATIENTS UNDERGOING LAPAROTOMY.
NCT04934345 ·Status: UNKNOWN
-
Vasoplegic Syndrome in Cardiac Surgery
NCT03281317 ·Status: ACTIVE_NOT_RECRUITING
-
The Effect of Vasopressors on Cerebral Oxygentaion During Off Pump CABG
NCT04214145 ·Status: COMPLETED ·Phase: NA
-
Norepinephrine vs Phenylephrine During General Anesthesia
NCT04789330 ·Status: COMPLETED ·Phase: PHASE4
-
Norepinephrine Prevent Post-induction Hypotension in High-risk Patients
NCT06028256 ·Status: UNKNOWN ·Phase: PHASE4
-
BNP and Vascular Surgery
NCT03926104 ·Status: UNKNOWN
-
Association of Intraoperative Blood Pressure Excursions Below Cerebral Autoregulatory Boundaries With Organ Injury Following Major Noncardiac Surgery
NCT05336864 ·Status: RECRUITING
-
Effects of Prophylactic Desmopressin on Blood Coagulation Parameters in Heart Valve Surgery
NCT03343418 ·Status: UNKNOWN ·Phase: PHASE4
-
Effects of Different Kinds of Hypotensive Drugs on Dynamic Hemodynamic Changing in Patients Under Surgeries
NCT03497351 ·Status: COMPLETED ·Phase: NA
-
Intraoperative Fluid Management Based on Arterial Pulse Pressure Variation During High-Risk Surgery
NCT00479011 ·Status: TERMINATED ·Phase: NA
-
Vasopressin to Prevent Hypotension During Beach Chair Surgery
NCT01687894 ·Status: COMPLETED
-
Cardiac Output Response to Vasopressin Infusion In Abdominal Surgery Patients Under Mechanical Ventilation
NCT04935814 ·Status: COMPLETED ·Phase: PHASE4
-
In Situ Exploration of Vascular Function in Vasoplegic Shock Following Cardiac Surgery With Cardiopulmonary Bypass
NCT06318689 ·Status: RECRUITING
-
The Hemodynamic Effects of Vasopressin in Patients With Fontan Physiology
NCT04463394 ·Status: COMPLETED ·Phase: EARLY_PHASE1
-
Prevention or Treatment of Arterial Hypotension and Oxygen Cerebral Saturation During Major Abdominal Surgery
NCT05481047 ·Status: COMPLETED ·Phase: NA
-
Optimization of Hepatic Hemodynamics During Liver Surgery
NCT02993640 ·Status: COMPLETED ·Phase: EARLY_PHASE1
-
Permissive Hypotension After Cardiac Surgery
NCT06476613 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
Phenylephrine and Pulse Pressure Variability
NCT05011357 ·Status: COMPLETED ·Phase: EARLY_PHASE1
-
Preventing Cardiovascular Collapse With Vasopressors During Tracheal Intubation
NCT05014581 ·Status: RECRUITING ·Phase: PHASE3