Status:

COMPLETED

Effect of Etomidate on Hemodynamics and Adrenocortical Function After Cardiac Surgery

Lead Sponsor:

Insel Gruppe AG, University Hospital Bern

Conditions:

Coronary Artery Disease

Mitral Valve Regurgitation

Eligibility:

All Genders

18-80 years

Phase:

PHASE4

Brief Summary

The purpose of this study is to evaluate the effect of a single dose of etomidate for patients undergoing cardiac surgery with the use of cardiopulmonary bypass (CPB) on post-CPB adrenocortical respon...

Eligibility Criteria

Inclusion

  • Male or female patients undergoing elective
  • coronary artery bypass graft (primary or re-operation)
  • mitral valve reconstruction/replacement for mitral valve regurgitation
  • Age between 18 and 80 years (extremes included)
  • Subject itself has signed the informed consent
  • No clinically relevant deviation from the laboratory's reference range of biochemistry, hematology, or urinalysis testing

Exclusion

  • Participation in another ongoing interventional trial
  • Known adrenocortical insufficiency
  • Use of etomidate or propofol within 1 week preoperatively
  • Use of glucocorticoids within 6 month preoperatively
  • Known sensitivity to etomidate, propofol, or emulgator
  • Severe hepatic dysfunction (bilirubin \> 3mg/dl)
  • Severe renal dysfunction (plasma creatinine \> 180mikromol/l)
  • Sepsis, endocarditis or other chronic inflammatory disease
  • Manifest insulin-dependent diabetes mellitus
  • Positive HIV serology
  • Hemodynamically significant carotid stenosis requiring treatment
  • Serious illnesses: endocrine, neurological, psychiatric, metabolic disturbances
  • Pregnancy or breast-feeding female; females will be subject to pregnancy testing
  • Requirement of rapid sequence induction
  • Emergency surgery
  • History of asthma

Key Trial Info

Start Date :

November 1 2006

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

December 1 2009

Estimated Enrollment :

130 Patients enrolled

Trial Details

Trial ID

NCT00415701

Start Date

November 1 2006

End Date

December 1 2009

Last Update

March 4 2010

Active Locations (1)

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Departments of Intensive Care Medicine and Anesthesiology

Bern, Canton of Bern, Switzerland, 3010