Preoperative High-dose Dexamethasone and Emergency Laparotomy
NCT04791566 · Status: COMPLETED · Phase: PHASE4 · Type: INTERVENTIONAL · Enrollment: 120
Last updated 2022-12-14
Summary
The aim of this trial is to evaluate the effect of high-dose glucocorticoid on inflammatory response and recovery after emergency laparotomy in participants with intestinal obstruction and perforated viscus.
Primary outcome is the reduction of C-reactive protein on postoperative day 1. Secondary outcomes are organ specific complications in the post anaesthesia phase, endothel and inflammatory markers, fluid status, preload dependency, pain, lung function, nausea and mobilization during the first 5 days after surgery, .
The investigators hypothesize, that a preoperative single high dose of glucocorticoid reduces systemic inflammatory response after emergency laparotomy.
Conditions
- Intestinal Obstruction and Ileus
- Perforated Viscus
- Sepsis
- Pathophysiology
- Inflammatory Response
Interventions
- DRUG
-
Dexamethasone 1 mg/kg
Dexamethasone 1 mg/kg administered as a single preoperative i.v. infusion over 10-15 min prior to general anaesthesia
- DRUG
-
Physiologic saline
100 mL Physiologic saline administered as a single preoperative i.v., infusion over 10-15 min prior to general anaesthesia
Sponsors & Collaborators
-
Mirjana Cihoric
lead OTHER
Principal Investigators
-
Nicolai Bang Foss, Professor · Dept. of Anaesthesiology and Intensive Care
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- QUADRUPLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2021-03-01
- Primary Completion
- 2022-10-09
- Completion
- 2022-12-09
Countries
- Denmark
Study Locations
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