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| Name | Class |
|---|---|
| Shanghai Children's Medical Center | OTHER |
| Guangzhou Women and Children's Medical Center | OTHER |
| Guangzhou General Hospital of Guangzhou Military Command | OTHER |
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Pediatric patients diagnosed with Complex Congenital Heart Disease ready to accept scheduled open-heart surgery under cardiopulmonary bypass (CPB).
This study uses randomized (centralized randomization) & controlled design with open label. Eligible subjects will be randomized to receive either study drug (Ulinastatin) or conventional treatment.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| ulinastatin group | Experimental | the ulinastatin group will be administered as follows:Ulinastatin 30,000 unit/kg will be diluted into saline solution and administered intravenously in the surgery; Postoperative administration will be 30,000unit/kg divided into 3 regimens until leave ICU. |
|
| control group | No Intervention | patients of control group received conventional therapy,eg,General anesthetic drug and monitoring during the whole process of surgery;Mechanical ventilation and close monitoring to prevent and manage respiratory acidosis and alkalosis and so on. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Ulinastatin | Drug | Ulinastatin will be diluted into saline solution and administered intravenously in the intraoperative and postoperative |
|
| Measure | Description | Time Frame |
|---|---|---|
| Dynamic changes of arterial oxygen tension / inspired oxygen fraction (PaO2/FiO2) ratio | Dynamic changes of PaO2/FiO2 ratio will be observed in every 4 hours interval during post-operative ICU stay period | Participants will be followed for the duration of ICU, an expected average of 5 days |
| Measure | Description | Time Frame |
|---|---|---|
| The time of the PaO2/ FiO2 Ratio ≥300 post surgery | Participants will be followed for the duration of ICU, an expected average of 5 days | |
| The proportion of the PaO2/ FiO2 Ratio ≥300 post surgery | Participants will be followed for the duration of ICU, an expected average of 5 days |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Wei Wang, MD | Shanghai Children's Medical Center | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| General Hospital of Guangzhou Millitary Command | Guangzhou | Guangdong | 510010 | China | ||
| Guangzhou Women and Children's Medical Center |
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| ID | Term |
|---|---|
| D006330 | Heart Defects, Congenital |
| ID | Term |
|---|---|
| D018376 | Cardiovascular Abnormalities |
| D002318 | Cardiovascular Diseases |
| D006331 | Heart Diseases |
| D000013 | Congenital Abnormalities |
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| ID | Term |
|---|---|
| C028665 | urinastatin |
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| Nanjing Children's Hospital |
| OTHER |
| Children's Hospital of Fudan University | OTHER |
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| Monitoring arterial hydrogen ion concentration | Participants will be followed for the duration of ICU, an expected average of 5 days |
| Monitoring record of mean blood pressure | Intraoperative and Postoperative,an expected average of 6 days |
| Monitoring record of central venous pressure | Intraoperative and Postoperative,an expected average of 6 days |
| Analysis proinflammatory cytokines Interleukin 1 | Preoperative and Postoperative on day1 ,day3 and day5 |
| Guangzhou |
| Guangdong |
| 510623 |
| China |
| Nanjing Children's Hospital | Nanjing | Jiangsu | 210000 | China |
| Shanghai Children's Medical Center | Shanghai | 200127 | China |
| Children's Hospital of Fudan University | Shanghai | 201102 | China |
| D009358 | Congenital, Hereditary, and Neonatal Diseases and Abnormalities |