Assessing the Impact of Two Methods of Continuous Veno-venous Hemodiafiltration on Time Nursing Work in Intensive Care
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Purpose
The prevalence of acute renal failure in intensive care is estimated at between 5 and 20% depending on diagnostic criteria retained. And half of patients require the use of hemodialysis. Continuous veno-venous hemodiafiltration (CVVHDF) is one of the hemodialysis technique widely used in intensive care unit.
The CVVHDF is performed at the bedside, by a mobile generator with a semi permeable membrane, a blood circuit, a dialysate circuit and a feedback circuit.
The implementation of a CVVHDF requires the use of large amounts of biological liquid essential to enable the purification of blood during its passage through the artificial kidney. The biological fluid may be supplied to the generator of CVVHDF in 2 ways:
- The conventional method, the most used: the generator operates with pockets containing dialysis fluid, these pockets to be changed regularly by nurses
- The on-line method: the generator operates with a specific water system supplying the dialysis fluid available in every room of the unit The objective of this study is to assess time nursing work and the costs of each method.
For this, 15 patients will be included in this study. Each patient performs 12 hours of each method (conventional and online), whose order will be randomized.
| Condition | Intervention |
|---|---|
|
Acute Renal Failure |
Procedure: Continuous veno-venous haemodiafiltration |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Intervention Model: Parallel Assignment Masking: Open Label |
| Official Title: | Assessing the Impact of Two Methods of Continuous Veno-venous Hemodiafiltration on Time Nursing Work in Intensive Care |
- time of nursing work required to realised a CVVHDF as a conventional and on line methods modality of supply compared to a method on-line [ Time Frame: End of CVVHDF conventional and on line ] [ Designated as safety issue: No ]
- costs of CVVHDF performed using a conventional and on-line methods [ Time Frame: End of CVVHDF conventional and on line ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 15 |
| Study Start Date: | September 2010 |
| Estimated Study Completion Date: | September 2011 |
| Estimated Primary Completion Date: | September 2011 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: CVVHDF on-line
CVVHDF using a central water treatment plant, providing dialysate directly to the patient.
|
Procedure: Continuous veno-venous haemodiafiltration
Dialysis procedure administrated to the patients with acute renal failure
Other Names:
|
|
Experimental: classical CVVHDF
CVVHDF using a mobile generator with dialysate bags
|
Procedure: Continuous veno-venous haemodiafiltration
Dialysis procedure administrated to the patients with acute renal failure
Other Names:
|
Eligibility| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Patient affiliated with or beneficiary of a social security category
- Patient with a renal failure requiring a CVVHDF for at least 2 cycles of 12 hours
Exclusion Criteria:
- N/A
Contacts and Locations
More Information
No publications provided
| Responsible Party: | Clément CAILLAUX, Centre Hospitalier Universitaire de Saint Etienne |
| ClinicalTrials.gov Identifier: | NCT00993733 History of Changes |
| Other Study ID Numbers: | 1008019 |
| Study First Received: | October 9, 2009 |
| Last Updated: | January 31, 2011 |
| Health Authority: | France: Afssaps - Agence française de sécurité sanitaire des produits de santé (Saint-Denis) France: French Data Protection Authority |
Keywords provided by Centre Hospitalier Universitaire de Saint Etienne:
|
hemodiafiltration cost dialysis solution acute renal failure intensive care unit |
Additional relevant MeSH terms:
|
Acute Kidney Injury Renal Insufficiency Kidney Diseases Urologic Diseases |
ClinicalTrials.gov processed this record on May 21, 2013