Title
Hypertonic Saline Dextran in Pediatric Cardiac Surgery
The Use of Hypertonic Saline Dextran in Cardiac Surgery Utilizing Cardio Pulmonary Bypass in Children Less Than 17 Weeks Old.
Phase
Phase 2Lead Sponsor
Osaka UniversityStudy Type
InterventionalStatus
Completed No Results PostedIntervention/Treatment
dextran sodium chloride ...Study Participants
14The purpose of this study is to determine whether infusion of hypertonic saline dextran attenuates the inflammatory response and the water overload, during and after major cardiac surgery in small children.
After major cardiac surgery in small children, extravasation of fluid due to increased capillary leak has negative effect on haemodynamics and respiration. Inflammation cascades are activated by surgery and the use of cardio pulmonary bypass (CPB). We want to test whether a small infusion of 7.5% NaCl in 6% dextran solution before and after CPB reduces inflammatory activation by measuring the levels of interleukins 6 and 8 (IL-6, IL-8). We also measure extravascular lung water, fluid balance and weight during the first 24 hours post CPB.
Inclusion Criteria: Patients with congenital heart defect undergoing surgery using cardio pulmonary bypass (CPB). Age below 17 weeks Exclusion Criteria: Preoperative: organ failure (other than heart), serum sodium > 155 mmol/l, central venous pressure > 12 mmHg Perioperative: core temperature < 25 ºC on CPB, re-heparinization, re-operation