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The aim of the study is to compare three different regimens for volume replacement during cardiac surgery, e.g. Albumin 5%, Hydroxyethylstarch 130/0.4 (HES) and Ringer-Lactate (RL).
Main Outcome parameters: chest tube drainage and coagulation parameters. The investigators hypothesis is that HES is as safe as Albumin, however less expensive. Whether RL is an even less expensive and as safe alternative has to be shown.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Hydroxyethylstarch | Active Comparator |
| |
| Humanalbumin | Active Comparator |
| |
| Ringer lactate | Active Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| volume replacement | Drug | Hydroxyethylstarch up to 50mL/kg/24 hrs |
|
| Measure | Description | Time Frame |
|---|---|---|
| chest tube drainage | 24 hours |
| Measure | Description | Time Frame |
|---|---|---|
| Hemoglobin concentration | induction of anesthesia = baseline | |
| Hematocrit value | induction of anesthesia = baseline | |
| platelet count |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Eva M Base, MD | Medical University of Vienna | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Vienna General Hospital | Vienna | State of Vienna | 1090 | Austria |
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| ID | Term |
|---|---|
| D006349 | Heart Valve Diseases |
| D003324 | Coronary Artery Disease |
| ID | Term |
|---|---|
| D006331 | Heart Diseases |
| D002318 | Cardiovascular Diseases |
| D003327 | Coronary Disease |
| D017202 | Myocardial Ischemia |
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| ID | Term |
|---|---|
| C485123 | HES 130-0.4 |
| D006895 | Hydroxyethyl Starch Derivatives |
| ID | Term |
|---|---|
| D013213 | Starch |
| D004040 | Dietary Carbohydrates |
| D002241 | Carbohydrates |
| D005936 | Glucans |
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| Humanalbumin 5% | Drug | Humanalbumin 5% up to 50 mL/kg/24 hours |
|
|
| volume replacement | Drug | up 10 50mL/kg/24 hours |
|
| induction of anesthesia = baseline |
| activated clotting time | induction of anesthesia = baseline |
| Modified thromboelastometry coagulation analysis (ROTEM, Pentapharm, Munich, Germany) | using 3 activators: intrinsic ROTEM (InTEM, extrinsic ROTEM (ExTEM), finbrinogen ROTEM (FibTEM) | induction of anethesia = baseline |
| Hemoglobin concentration | average 1 hour on cardiopulmonary bypass |
| Hematocrit value | average 1 hour on cardiopulmonary bypass |
| Modified thromboelastometry coagulation analysis (ROTEM, Pentapharm, Munich, Germany) | using 3 activators: intrinsic ROTEM (InTEM, extrinsic ROTEM (ExTEM), finbrinogen ROTEM (FibTEM) | average 1 hour on cardiopulmonary bypass |
| activated clotting time | average 1 hour on cardiopulmonary bypass |
| Hemoglobin concentration | 30 minutes after arrival ICU |
| Hematocrit value | 30 minutes after arrival ICU |
| platelet count | 30 minutes after arrival ICU |
| activated clotting time | 30 minutes after arrival ICU |
| Modified thromboelastometry coagulation analysis (ROTEM, Pentapharm, Munich, Germany) | using 3 activators: intrinsic ROTEM (InTEM, extrinsic ROTEM (ExTEM), finbrinogen ROTEM (FibTEM) | 30 minutes after arrival ICU |
| Hemoglobin concentration | 24 hours after surgery |
| Hematocrit value | 24 hours after surgery |
| platelet count | 24 hrs after surgery |
| Modified thromboelastometry coagulation analysis (ROTEM, Pentapharm, Munich, Germany) | using 3 activators: intrinsic ROTEM (InTEM, extrinsic ROTEM (ExTEM), finbrinogen ROTEM (FibTEM) | 24 hrs after surgery |
| D001161 |
| Arteriosclerosis |
| D001157 | Arterial Occlusive Diseases |
| D014652 | Vascular Diseases |
| D011134 |
| Polysaccharides |