Impact of Hyperoncotic Albumin to Support Blood Loss Replacement
NCT03848507 · Status: COMPLETED · Phase: PHASE4 · Type: INTERVENTIONAL · Enrollment: 24
Last updated 2020-02-20
Summary
Fluid treatment is usually performed with either balanced crystalloid fluids or iso-oncotic colloids, (synthetic colloids, plasma and 5% albumin). Doubts have been raised about synthetic colloids (impairment of renal function and coagulation), and the natural albumin has been used more extensively. Albumin is the main protein responsible for plasma oncotic pressure and its volume expansion effect. An alternative therapeutic option is the mobilization of tissue fluid by infusing a small amount of hyper-oncotic fluid like the 20% albumin solution (endogenous fluid recruitment).
The primary objective of this study is to test the effect of 20% albumin on plasma volume expansion and fluid recruitment in the frame of blood loss replacement during cystectomy using established fluid kinetic models.
The investigators expect that fluid replacement with crystalloid will be better sustained intravascularly with the administration of 20% albumin and be able to recruit fluid into the vascular compartment.
Conditions
- Blood Loss, Surgical
- Fluid Retention
Interventions
- DRUG
-
albumin 20%
Intravenous administration of 20% albumin during cystectomy
Sponsors & Collaborators
-
Insel Gruppe AG, University Hospital Bern
lead OTHER
Principal Investigators
-
Patrick Wuethrich, MD · Inselspital Bern Switzerland
Study Design
- Allocation
- NA
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- SINGLE_GROUP
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2019-03-18
- Primary Completion
- 2020-02-12
- Completion
- 2020-02-18
Countries
- Switzerland
Study Locations
More Related Trials
-
Comparison of Priming Constituents in Patients Undergoing CPB Assisted Cardiac Surgery: HES 130/0.4 or Albumin 5%
NCT01849757 ·Status: WITHDRAWN ·Phase: NA
-
Efficacy of 20% Human Albumin in Reducing Pleural Effusion After Cardiopulmonary Bypass
NCT06681415 ·Status: COMPLETED ·Phase: PHASE4
-
Humanalbumin, Hydroxyethylstarch and Ringer Lactate During Cardiac Surgery
NCT01174719 ·Status: COMPLETED ·Phase: PHASE4
-
Endothelial Function After Cardiac Surgery
NCT02882074 ·Status: COMPLETED ·Phase: NA
-
Formation and Severity of Pressure Ulcers Associated With 4% Albumin vs. 0.9% Sodium Chloride
NCT00228657 ·Status: COMPLETED ·Phase: PHASE1/PHASE2
-
Strong Albumin Solutions in Patients With Septic Shock
NCT05208242 ·Status: COMPLETED ·Phase: PHASE2/PHASE3
-
Comparative Evaluation of Albumin and Starch Effects in Acute Lung Injury (ALI)
NCT00796419 ·Status: TERMINATED ·Phase: PHASE3
-
VolulyteTM in Cardiac Surgery
NCT01553617 ·Status: COMPLETED ·Phase: PHASE4
-
Resuscitation Fluid Choice and Clinical Outcomes
NCT02641119 ·Status: COMPLETED
-
Hypertonic Saline for Fluid Resuscitation After Cardiac Surgery
NCT03280745 ·Status: COMPLETED ·Phase: PHASE4
-
Safety and Efficacy of 6% Hydroxyethyl Starch (HES) Solution Versus an Electrolyte Solution in Patients Undergoing Elective Abdominal Surgery
NCT03278548 ·Status: COMPLETED ·Phase: PHASE4
-
Crystalloids vs Albumin Prime Solution and Postoperative Pulmonary Complications
NCT04839432 ·Status: COMPLETED
-
Volume Expansion With Albumin vs. Crystalloid and Expiratory Lung Impedance
NCT04037644 ·Status: UNKNOWN ·Phase: PHASE2/PHASE3
-
The Importance of Albumin Infusion Rate for Plasma Volume Expansion Following Major Abdominal Surgery
NCT02728921 ·Status: COMPLETED ·Phase: PHASE4
-
Feasibility of 5% Albumin Compared With Balanced Crystalloid, as Intravenous Fluid Resuscitation in Adult Patients With Sepsis, Presenting as an Emergency to Hospital
NCT04540094 ·Status: COMPLETED ·Phase: PHASE3
-
The Effect of Hydroxyethylstarch 6% 130/0.4 in a Balanced Electrolyte Solution (Volulyte®) Compared to Gelatine (Geloplasma®) on Microvascular Reactivity and Tissue Oxygen Saturation During Haemodilution Measured With Near-infrared Spectroscopy
NCT02034682 ·Status: COMPLETED ·Phase: NA
-
Lactated Ringer's Versus 5% Human Albumin: Cardiac Surgical Patients
NCT02654782 ·Status: TERMINATED ·Phase: PHASE2
-
"The Effect of Reduced Fluid Load After Cardiac Surgery"
NCT01438502 ·Status: WITHDRAWN
-
Hypertonic Saline-hetastarch in Cardiac Surgery
NCT00469716 ·Status: COMPLETED ·Phase: PHASE4
-
Albumin in Cardiac Surgery
NCT02560519 ·Status: COMPLETED ·Phase: PHASE4
-
The Role of Intravenous Albumin Replacement During Abdominal Paracentesis in Patients With Malignancy Related Ascites
NCT02811406 ·Status: UNKNOWN ·Phase: NA
-
Comparison of Colloid (20% Albumin) Versus Crystalloid (Plasmalyte) for Fluid Resuscitation in Cirrhotics With Sepsis Induced Hypotension.
NCT02721238 ·Status: COMPLETED ·Phase: NA
-
Fluid Mobilization in Hospitalized Patients With Acute Kidney Injury
NCT04522635 ·Status: COMPLETED ·Phase: PHASE4
-
Impact of Fluid Management Within a Goal-directed Hemodynamic Protocol on Acid-base Balance in Elective Trauma Surgery
NCT01117519 ·Status: COMPLETED ·Phase: PHASE4
-
Albumin and Prognosis of Severely Patients Burns
NCT04264065 ·Status: RECRUITING