The purpose of this study is to assess the effectiveness and the safety of extracorporeal methods for removing mediators of systemic inflammation in patients with multiple organ dysfunction syndrome after heart and aorta surgery.
After being informed about the study and potential risk, all patients with multiple organ dysfunction syndrome after heart and aorta surgery with indications for extracorporeal removal of inflammatory mediators, giving written informed consent will be included in the study. Patients will be randomized 1:1 ratio to 1. hemoperfusion cartridge for cytokine sorption in combination with an oXiris membrane and 2. oXiris membrane.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
20
Extracorporeal Methods for Removing Mediators of Systemic Inflammation
Petrovsky Nacional research Centre of Surgery
Moscow, Russia
RECRUITINGCRP
сhange of CRP after 12 hours from baseline value
Time frame: 12 hours from the beginning of the study
CRP
сhange of CRP after 24 hours from baseline value
Time frame: 24 hours from the beginning of the study
CRP
comparison of CRP after 12 hours with CRP after 24 hours
Time frame: 24 hours from the beginning of the study
IL6
сhange of IL6 after 12 hours from baseline value
Time frame: 12 hours from the beginning of the study
IL6
сhange of IL6 after 24 hours from baseline value
Time frame: 24 hours from the beginning of the study
IL6
comparison of IL6 after 12 hours with IL6 after 24 hours
Time frame: 24 hours from the beginning of the study
SOFA
change of SOFA values after 12 hours from baseline value
Time frame: 12 hours from the beginning of the study
SOFA
change of SOFA values after 24 hours from baseline value
Time frame: 24 hours from the beginning of the study
SOFA
comparison of the SOFA value after 12 hours with the SOFA value after 24 hours
Time frame: 24 hours from the beginning of the study
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extracorporeal therapy
duration
Time frame: hospitalisation period, an average of 1 month
time spent in intensive care unit
duration
Time frame: hospitalisation period, an average of 1 month
inpatient stay time
duration
Time frame: through study completion, an average of 2 months
renal function of RIFLE
percentage decrease from initial level
Time frame: through study completion, an average of 2 months
lethality
ratio of the number of deaths to the total number of patients
Time frame: through study completion, an average of 2 months