Pentastarch Use in Cardiac Surgery
A Randomized, Prospective, Blinded Clinical Trial to Evaluate the Efficacy and Safety of Pentastarch Use in Patients Undergoing Coronary Artery Bypass Surgery or Valve Replacement Surgery Using Cardiopulmonary Bypass Circuits
1 other identifier
interventional
N/A
1 country
1
Brief Summary
Patients undergoing cardiac surgery with cardiopulmonary bypass require significant fluid administration. Fluids are used routinely to replace blood lost during and after surgery. Significant amounts of fluid are also used to prime the tubing and components of the cardiopulmonary bypass pump before and during its use. The use of Pentaspan - a synthetic pentastarch - was started because of the restriction of use for blood and blood products, particularly albumin. Pentaspan is usually used after surgery in the Intensive Care Unit (ICU). The impact of the use of pentastarch on coagulation, fluid balance and bleeding are very limited. This study will methodically evaluate the impact of using increasingly greater amounts of pentastarch during surgery on an open heart surgery patient's recovery in particular - is there more bleeding, does his/her blood clot as well, and how much fluid overall is used and excreted?
Trial Health
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Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
September 13, 2005
CompletedFirst Posted
Study publicly available on registry
September 16, 2005
CompletedSeptember 20, 2007
September 1, 2004
September 13, 2005
September 19, 2007
Conditions
Keywords
Outcome Measures
Primary Outcomes (2)
transfusion requirements
fluid balance
Secondary Outcomes (4)
postoperative bleeding
mediastinal drainage
coagulation parameters
respiratory status
Interventions
Eligibility Criteria
You may qualify if:
- All patients undergoing either coronary artery bypass surgery or valve surgery requiring the use of cardiopulmonary bypass circuit
You may not qualify if:
- Emergency surgery
- Regurgitant valve pathology
- Redo surgery
- Significant left ventricular (LV) dysfunction
- Significant renal insufficiency
- Anticipation of associated procedure - eg carotid endarterectomy
- Ongoing sepsis or endocarditis
- Received aspirin (ASA) or Plavix within 96 hours of surgery
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Hamilton Health Sciences - General Division
Hamilton, Ontario, lL8L 2X2, Canada
MeSH Terms
Interventions
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Irene Cybulsky, MD
McMaster University
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
Study Record Dates
First Submitted
September 13, 2005
First Posted
September 16, 2005
Last Updated
September 20, 2007
Record last verified: 2004-09