Fluid Resuscitation Goal in Early Stage of Severe Acute Pancreatitis

Shanghai Jiao Tong University

Status: Unknown

Conditions: Pancreatitis

Treatments: Other: Goal B; Other: Goal A

Study type: Interventional

Funder types: Other

Identifiers

NCT01974466

RJpancreatitis01 (Registry Identifier)

Details and patient eligibility

About

To compare different goals of fluid resuscitation in early stage of acute pancreatitis

Full description

With regard to study of sepsis and several studies of SAP demonstrating the deleterious effects of fluid loss and haemoconcentration within the first 24h after admission（or onset of abdominal pain）, early goal-directed fluid resuscitation has the potential of improving outcome also in SAP. But the goal of fluid resuscitation remained controversial.Several criteria of fluid resuscitation had been described. Ours had been described in previous study, and had shown a ideal result with less incidence of abdominal compartment syndrome and higher survival rate. This study aims to determine a better goal of fluid resuscitation in severe acute pancreatitis.

Enrollment: 60 estimated patients

Sex: All

Ages: 18 to 70 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• 1. Diagnosis of pancreatitis: Typical pain increase in serum lipase or amylase 2. Onset of abdominal pain within <=72h before admission 3. moderate severe or severe acute pancreatitis according to Atlanta criteria revisited in 2012 4. Evidence of >= 1 predictor of fluid resuscitation: Haematocrit >44% (male) or >40% (female), respectively Lactate>4mmol/L; heart rate>120bpm; urine <0.5ml/kg/h for 6 hour; Mean arterial pressure>85 or <60 mmHg

Exclusion criteria

• 1. Pregnancy 2. New York Heart Association classification >II 3. With pacemaker implantation 4. chronic obstructive pulmonary disease 5. chronic kidney disease 6. Pre-existing disease with life expectancy < 3 months

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Single Group Assignment

Masking: Single Blind

---

60 participants in 2 patient groups

Goal A

Active Comparator group

Description:

controled fluid therapy: 5\~10ml/kg/hr fulfillment of two or more of four criteria: 1. heart rate \<120 beats/min, 2. mean arterial blood pressure 65-85 mm Hg, 3. urine output ≥1 ml/kg /h 4. Hematocrit ≤35%.

Treatment:

Other: Goal A

Goal B

Other group

Description:

controled fluid therapy: 5\~10ml/kg/hr fulfillment of all of the following criteria: 1 central venous pressure8-12 mmHg , 2.mean arterial pressure 65-85 mm Hg, 3. urine output ≥0.5 ml/kg/h 4. ScvO2 ≤70%

Treatment:

Other: Goal B