During this prospective, uncontrolled and non-interventional observational study, the influence of albumin function on the efficacy of furosemide will be investigated. The aim of the study is to provide information on the efficacy of furosemide depending on albumin function.
In patients with intravenous furosemide administration, an additional 15 ml of blood is taken for the analysis of specific parameters as part of the blood sampling necessary for the treatment of the patient. The effect of furosemide is assessed on the basis of the patient's urine excretion. For this purpose, fluid intake and excretion are balanced over 6 hours. The blood sample is taken at the beginning of the balancing period. In addition, the albumin concentration, ABiC, as well as the total and free concentration of furosemide in the collected urine are determined.
Study Type
OBSERVATIONAL
Enrollment
50
After centrifugation (10 minutes at 4000 rpm), the plasma is aliquoted and stored at minus 80° C until further analysis. The free as well as the total furosemide concentration is determined by HPLC. In addition to the characterisation of the albumin function by means of the ABiC, these samples can also be used for the determination of the albumin concentration (prerequisite for the determination of the ABiC) and free furosemide concentration as well as for the determination of further parameters relevant for the albumin function.
University Hospital Rostock
Rostock, Mecklenburg-Vorpommern, Germany
Change in the ratio of urine output to fluid input after initiation of furosemide therapy in correlation to the ABiC
Assessment of the ABiC 5 minutes after furosemid administration as well as urine output and fluid input for 6 hours post-dose for every hour
Time frame: 6 hours post-dose
Change of the levels of the patient-specific unbound furosemide fraction in correlation to the ABiC
Assessment of the patient-specific unbound furosemide fraction 5 minutes after furosemid administration
Time frame: 5 minutes post-dose
Influence of disease severity on ABiC
Correlation of clinical parameters of critical ill patients with the ABiC: * Comorbidities of the organ subsystems (cardio-pulmonary, abdominal, nephrological, endocrinological) * Drug intake * Conditions affecting critically ill patients (haemodynamic status, sepsis, ARDS, nutritional status)
Time frame: 12 hours
Influence of biochemical parameters on ABiC
Correlation of biochemical parameters of critical ill patients with the ABiC: * Hemogram * Acid-base balance * Organ-specific parameters (kidney, liver, immune system) * Albumin * Unbound forusemide fraction * Urine analysis
Time frame: 12 hours
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.