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The investigators want to measure the degradation of the endothelial glycocalyx before and after clamping the aorta, in patients operated for a abdominal aortic aneurism.
50 patients is scheduled for enrollment. Blood samples will be up taken before surgery, 10 min after reperfusion, at the end of surgery and the following morning. In addition the investigators are placing a renal venous catheter where blood samples will be up taken as mentioned above for the analysis of endothelial markers together with markers for kidney damage.
The first 10 patient will act as part of a pilot study, where only measurement of the endothelial and renal failure markers will be performed.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Fresh frozen plasma | Active Comparator | 2 portions of FFP will be transfused prior to reperfusion |
|
| Fresh non-frozen plasma | Experimental | 2 portions of non-frozen plasma will be transfused prior to reperfusion |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Plasma | Other | 2 Units of plasma transfused equvilant to 2 times 275ml |
|
| Measure | Description | Time Frame |
|---|---|---|
| Endothelial dysfunction | Measurement of endothelial markers peri- and postoperative: thrombomodulin, E-selectin and syndecan-1 | 24 hours |
| Measure | Description | Time Frame |
|---|---|---|
| Fluid balance | Perioperative and postoperative first 24 hours | 24 hours |
| Measure | Description | Time Frame |
|---|---|---|
| Postoperative organ failure | Development of kidney- and respiratory failure and sepsis | 30 days |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Thomas B Jørgensen, MD | Contact | +4535458734 | thomas.bech.aaa@gmail.com |
| Name | Affiliation | Role |
|---|---|---|
| Per I Johansson, MD | Section for Transfusion Medicine, Capital Region Blood Bank, Rigshospitalet, Copenhagen, Denmark. | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Rigshospitalet | Recruiting | Copenhagen | Østerbro | 2000 | Denmark |
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