Evaluation of Corticosteroid in Systemic Inflammatory Response Syndrome
NCT03876041 · Status: COMPLETED · Phase: PHASE4 · Type: INTERVENTIONAL · Enrollment: 60
Last updated 2021-06-14
Summary
Cardiac surgery and cardiopulmonary bypass (CPB) initiate a whole-body systemic inflammatory response (SIRS) characterized by the activation of leukocytes, monocytes, and the complement cascade. Multiple mediators of the inflammatory process are released, including cytokines, endothelin, adhesion molecules, and oxygen free radicals. An exaggerated release of these mediators may contribute to numerous postoperative end-organ complications, including myocardial dysfunction, neurologic impairment, respiratory failure, altered renal and hepatic function, bleeding disorders, and multiple organ failure. Although most cardiac surgical patients do not experience major adverse events, it is likely that the inflammatory response impairs clinical recovery to some degree in all patients.
A large number of therapeutic strategies have been developed to attenuate the inflammatory reaction to CPB and thereby enhance recovery of the cardiac surgical patient. Intraoperative corticosteroid administration has been studied extensively as a primary pharmacologic anti-inflammatory treatment option.
Conditions
- Systemic Inflammatory Response Syndrome
Interventions
- DRUG
-
solumedrol
intravenous solution for injection
- DRUG
-
Dexamethasone phosphate
intravenous solution for injection
Sponsors & Collaborators
-
Assiut University
lead OTHER
Principal Investigators
-
Alaa F Fathy, researcher · Assuit Medical school
Study Design
- Allocation
- RANDOMIZED
- Purpose
- OTHER
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Max Age
- 70 Years
- Sex
- ALL
- Healthy Volunteers
- Yes
Timeline & Regulatory
- Start
- 2019-09-01
- Primary Completion
- 2020-09-01
- Completion
- 2020-11-01
Countries
- Egypt
Study Locations
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