Treatment of Extracorporeal Membrane Oxygenation in Severe Poisoning
1 other identifier
observational
60
1 country
1
Brief Summary
This is a prospective, multicentre clinical study to determine the value of the Extracorporeal Membrane Oxygenation in the treatment of critically ill poisoning patients and whether there are significant differences in the prognosis of different types or doses of poison/drug poisoning. These conclusions may guide us on how to correctly perform Extracorporeal Membrane Oxygenation, including whether or when should this treatment enabled, the mode of Extracorporeal Membrane Oxygenation, whether to combine blood purification, treatment schedule and disembarkation time.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for all trials
Started Nov 2022
Typical duration for all trials
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
November 26, 2022
CompletedFirst Submitted
Initial submission to the registry
February 13, 2023
CompletedFirst Posted
Study publicly available on registry
March 9, 2023
CompletedPrimary Completion
Last participant's last visit for primary outcome
November 26, 2025
CompletedStudy Completion
Last participant's last visit for all outcomes
November 26, 2025
CompletedMarch 9, 2023
December 1, 2022
3 years
February 13, 2023
February 27, 2023
Conditions
Keywords
Outcome Measures
Primary Outcomes (6)
Death rate
Death rate is used to assess the treatment capacity of Extracorporeal membrane oxygenation.
through study completion, assessed up to 3 year
Complication
Complication is used to assess the side effects of Extracorporeal membrane oxygenation.
From date of randomization until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 10 days
Partial pressure of oxygen
PO₂ is used to indicate the state of internal respiration.
random time before performing extracorporeal membrane oxygenation
Partial pressure of oxygen
PO₂ is used to indicate the state of internal respiration.
immediately after performing extracorporeal membrane oxygenation
Oxygen saturation
SO₂ is used to indicate the state of internal respiration.
Before perform the extracorporeal membrane oxygenation
Oxygen saturation
SO₂ is used to indicate the state of internal respiration.
immediately after performing extracorporeal membrane oxygenation
Study Arms (1)
Group A
Due to respiratory and circulatory failure caused by acute server poisoning, patients accepting extracorporeal membrane oxygenation for treatment.
Eligibility Criteria
Patients with severe intoxication resulting in cardiac arrest, refractory malignant arrhythmia, refractory shock, refractory heart failure, respiratory failure.
You may qualify if:
- Severe intoxication resulting in cardiac arrest, refractory malignant arrhythmia, refractory shock, refractory heart failure, respiratory failure.
- Denying other available methods.
- Indications for the use of the Extracorporeal membrane oxygenation exist.
You may not qualify if:
- Severely impaired state of consciousness prior to cardiac arrest;
- Multiple organ dysfunction;
- Uncontrolled traumatic bleeding, massive gastrointestinal bleeding, and active intracranial hemorrhage;
- Left ventricular thrombosis; Severe aortic insufficiency.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Affiliated Hospital of Nantong University
Nantong, Jiangsu, 226000, China
Related Publications (6)
Masson R, Colas V, Parienti JJ, Lehoux P, Massetti M, Charbonneau P, Saulnier F, Daubin C. A comparison of survival with and without extracorporeal life support treatment for severe poisoning due to drug intoxication. Resuscitation. 2012 Nov;83(11):1413-7. doi: 10.1016/j.resuscitation.2012.03.028. Epub 2012 Mar 31.
PMID: 22469751BACKGROUNDWeiner L, Mazzeffi MA, Hines EQ, Gordon D, Herr DL, Kim HK. Clinical utility of venoarterial-extracorporeal membrane oxygenation (VA-ECMO) in patients with drug-induced cardiogenic shock: a retrospective study of the Extracorporeal Life Support Organizations' ECMO case registry. Clin Toxicol (Phila). 2020 Jul;58(7):705-710. doi: 10.1080/15563650.2019.1676896. Epub 2019 Oct 16.
PMID: 31617764BACKGROUNDAso S, Matsui H, Fushimi K, Yasunaga H. In-hospital mortality and successful weaning from venoarterial extracorporeal membrane oxygenation: analysis of 5,263 patients using a national inpatient database in Japan. Crit Care. 2016 Apr 5;20:80. doi: 10.1186/s13054-016-1261-1.
PMID: 27044572BACKGROUNDParker BM, Rao T, Matta A, Quitanna M, Reynolds HN, Stein DM, Haase D. Loperamide induced cardiac arrhythmia successfully supported with veno-arterial ECMO (VA-ECMO), molecular adsorbent recirculating system (MARS) and continuous renal replacement therapy (CRRT). Clin Toxicol (Phila). 2019 Nov;57(11):1118-1122. doi: 10.1080/15563650.2019.1580370. Epub 2019 Feb 26.
PMID: 30806091BACKGROUNDMohan B, Gupta V, Ralhan S, Gupta D, Puri S, Mahajan R, Goyal A, Chhabra S, Tandon R, Aslam N, Wander GS, Singh B. Impact of extra-corporeal membrane oxygenation on outcome of aluminium phosphide poisoning complicated with myocardial dysfunction. Clin Toxicol (Phila). 2019 Nov;57(11):1095-1102. doi: 10.1080/15563650.2019.1584297. Epub 2019 Mar 11.
PMID: 30856020BACKGROUNDTang X, Sun B, He H, Li H, Hu B, Qiu Z, Li J, Zhang C, Hou S, Tong Z, Dai H. Successful extracorporeal membrane oxygenation therapy as a bridge to sequential bilateral lung transplantation for a patient after severe paraquat poisoning. Clin Toxicol (Phila). 2015 Nov;53(9):908-13. doi: 10.3109/15563650.2015.1082183. Epub 2015 Aug 28.
PMID: 26314316BACKGROUND
Related Links
Biospecimen
blood samples, urine samples.
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- STUDY CHAIR
Zhongwei Huang
Affiliated Hospital of Nantong University
Central Study Contacts
Study Design
- Study Type
- observational
- Observational Model
- CASE ONLY
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
February 13, 2023
First Posted
March 9, 2023
Study Start
November 26, 2022
Primary Completion
November 26, 2025
Study Completion
November 26, 2025
Last Updated
March 9, 2023
Record last verified: 2022-12