Efficacy of 20% Human Albumin in Reducing Pleural Effusion After Cardiopulmonary Bypass
NCT06681415 · Status: COMPLETED · Phase: PHASE4 · Type: INTERVENTIONAL · Enrollment: 70
Last updated 2024-11-08
Summary
Human albumin is a widely used additive in cardiopulmonary bypass all around the world, but its effect on various outcomes has been debated. The goal of this observational study is to compare the effect of 100 ml 20% human albumin addition to cardiopulmonary bypass on pleural effusion development after open heart surgery.
The main question it aims to answer is:
• Does albumin, in addition to cardiopulmonary bypass, reduce pleural effusion development after open heart surgery? Patients will go under elective open heart surgery. Investigators will compare pleural effusion volume on the first day after surgery between patients who received albumin and those who didn't.
Conditions
- Pleural Effusions Post Coronary Artery Bypass Graft
- Hypoxia
- Hypoalbuminemia
Interventions
- DRUG
-
Adding 100ml of 20% human albumin to cardiopulmonary bypass priming solution
Adding albumin to the priming solution can help reduce hemodilution and consequent extracardiac complications by maintaining colloid oncotic pressure. Albumin helps counteract the intravascular fluid shift to the extravascular space and reduces the risk of complications associated with fluid imbalance. Postoperative pulmonary complications following CPB can significantly impact postoperative outcomes. Patients developing PPC have prolonged mechanical ventilation, extended hospitalisation, longer ICU stays, and elevated postoperative mortality. One of the most common PPCs following CPB is pleural effusion. Our primary objective was to evaluate the effectiveness of adding 100 ml of 20% human albumin to the CPB priming solution compared to standard priming, with a specific focus on its potential role in reducing the occurrence of pleural effusion.
Sponsors & Collaborators
-
Riga Stradins University
collaborator OTHER -
Pauls Stradins Clinical University Hospital
lead OTHER
Principal Investigators
-
Eva Strike, MD, PhD · Head of the cardiac anesthesiology and ICU department
Study Design
- Allocation
- RANDOMIZED
- Purpose
- PREVENTION
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2022-09-01
- Primary Completion
- 2023-12-01
- Completion
- 2024-01-01
Countries
- Latvia
Study Locations
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