Investigation of Inflammatory Parameters in a Perioperative Closed-meshed Standard Progress in CPB Patients
NCT02963480 · Status: COMPLETED · Type: OBSERVATIONAL · Enrollment: 100
Last updated 2018-02-19
Summary
Similar to poly-trauma, acute myocardial infarction, or stroke, the speed and appropriateness of therapy administered in the initial hours after severe sepsis develops are likely to influence outcome. However, the crux of matter is the "early diagnosis" lacking of high sensitive and specific test, in contrary to, for instance, the acute coronary syndrome, where the highly sensitive Troponin T is measured and increased values are fix component of the diagnosis and definition of acute myocardial infarction. Cardiac surgery can initiate a systemic inflammatory response syndrome (SIRS) induced by extrinsic and intrinsic factors, which are associated in the pathogenesis of postoperative complications. SIRS is closely related to sepsis, but in contrast sepsis is induced by infection. This strong inflammatory response induces malfunction of the peripheral circulation with increased lactate levels, pronounced fluid accumulation and increased need of vasopressors.
The investigators want to assess the timing dynamic of release of IL-6 apart from established markers like CRP, leukocytes, PCT. Target of this is to estimate the time-scope and -advance of an "IL-6 axis panel" toward the measurement of standard inflammation parameters in inflammatory response to surgical trauma as a pre-figuration of non-infectious SIRS and to search for a eligible "cut-off" of IL-6.
Conditions
Interventions
- PROCEDURE
-
Cardiac Surgery
Sponsors & Collaborators
-
Medical University of Vienna
lead OTHER
Principal Investigators
-
Martin H Bernardi, MD · Medical University of Vienna, Dept. of Cardiothoracic and Vascular Anesthesia and Intensive Care
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2016-10-30
- Primary Completion
- 2018-01-26
- Completion
- 2018-02-05
Countries
- Austria
Study Locations
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