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Fenoldopam Prophylaxis of Splanchnic Organs Underperfusion During Cardiopulmonary Bypass: a Randomized, Controlled Trial.
Cardiopulmonary bypass (CPB) for cardiac operations may be accompanied by different patterns of visceral underperfusion. This could result in clinical patterns of lactic acidosis but in the most severe cases there is the risk for mesenteric infarction (0.2% of the cases). Renal function as well may be impaired due to a low oxygen delivery, and acute renal failure occurs in 1-2% of cases. Fenoldopam mesilate is a selective splanchnic vasodilator when used at a dose \< 0.1 mcg/kg/min. The experimental hypothesis of this randomized, controlled trial (RCT) is that the use of fenoldopam may determine a better visceral perfusion during CPB.
Details
| Lead sponsor | IRCCS Policlinico S. Donato |
|---|---|
| Phase | Phase 4 |
| Status | COMPLETED |
| Enrolment | 80 |
| Start date | 2008-09 |
| Completion | 2009-04 |
Conditions
- Cardiac Complications
- Cardiopulmonary Bypass
Interventions
- Fenoldopam mesilate
- Placebo
Primary outcomes
- Peak blood lactate levels during CPB — 3 hours
Countries
Italy