Digital Ischemia Reduction in Critically Ill Patients
NCT05661773 · Status: WITHDRAWN · Phase: NA · Type: INTERVENTIONAL
Last updated 2023-11-01
Summary
Patients requiring high dose pressors (minimum 2) who are unlikely to be weaned off them over 1 day will be identified. Patients will have the device applied to one hand while expectant medical management will continue to the contralateral hand.
Conditions
- Hypovolemic Shock
- Cardiogenic Shock
- Digital Ischemia
Interventions
- DEVICE
-
the combined use of vacuum assisted suction and heat exchanger warming
Heat causes capillary vasodilation, where warming hands and toes improves blood flow while cooling them causes vasoconstriction. Applying a vacuum across a capillary bed increases the transcapillary gradient increasing the driving force of blood flow into tissues. The combination of these two mechanisms can work synchronously to improve blood flow to ischemic extremities and digits.
Sponsors & Collaborators
-
Wake Forest University Health Sciences
lead OTHER
Principal Investigators
-
Bartlomiej Imielski, MD · Wake Forest University Health Sciences
Study Design
- Allocation
- NON_RANDOMIZED
- Purpose
- PREVENTION
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2023-11-30
- Primary Completion
- 2024-11-30
- Completion
- 2024-11-30
- FDA Device
- Yes
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