Prospective Multicentre Observational Study of Patients Treated With Vasopressin in Critical Care Units

Status: Recruiting
Location: See all (24) locations...
Intervention Type: Drug
Study Type: Observational
SUMMARY

Arginine-vasopressin (AVP) is a non-catecholaminergic hormone produced in the hypothalamus and released into the circulation via the neurohypophysis. It has different actions depending on the receptors through which it acts: V1 (vasoconstriction, platelet aggregation, efferent arteriole constriction of the renal glomerulus, glycogenolysis); V2 (water reabsorption, release of von Willebrand factor and factor VIII); V3 (increased cortisol and insulin). Septic shock is the most common cause of vasoplegic shock and its management includes control of the focus, early antibiotic therapy, volume resuscitation, vasopressor therapy, support of various organ dysfunctions, as well as monitoring and follow-up. The Surviving Sepsis Campaign (a global initiative to improve sepsis management) recommends noradrenaline as the first line of vasopressor therapy and early addition of AVP as a second line rather than further up-titration of noradrenaline when signs of hypoperfusion persist, through its action primarily on V1. The rationale for its use in septic shock would be: * endogenous vasopressin deficiency present in septic shock; * as a catecholamine-sparing strategy, reducing the side effects of catecholamines; * its potential nephroprotective effect; * its use should be early. The uncertainties surrounding the use of AVP in septic shock and other types of shock are many, hence the need for this registry.

Eligibility
Participation Requirements
Sex: All
Minimum Age: 18
Healthy Volunteers: f
View:

• Any patient over 18 years of age who is in shock and requires the administration of vasoconstrictors, to whom vasopressin is administered in the operating theatre and/or critical care unit, according to best clinical practice.

Locations
Other Locations
Spain
Hospital Universitario de A Coruña
NOT_YET_RECRUITING
A Coruña
Hospital Universitario de Cruces
NOT_YET_RECRUITING
Barakaldo
Hospital de Sant Pau
NOT_YET_RECRUITING
Barcelona
Hospital del Mar
NOT_YET_RECRUITING
Barcelona
Hospital Universitario Valle de Hebrón
NOT_YET_RECRUITING
Barcelona
Hospital Universitario de Basurto
NOT_YET_RECRUITING
Bilbao
Hospital de Donostia
NOT_YET_RECRUITING
Donostia / San Sebastian
Hospital General Universitario de Elche
NOT_YET_RECRUITING
Elche
Hospital Universitario de Cabueñes
NOT_YET_RECRUITING
Gijón
Complejo Asistencial Universitario de León
NOT_YET_RECRUITING
León
Hospital Lucus Augustus
RECRUITING
Lugo
Hospital General Universitario Gregorio Marañón
NOT_YET_RECRUITING
Madrid
Hospital Universitario 12 de Octubre
RECRUITING
Madrid
Hospital Universitario La Princesa
NOT_YET_RECRUITING
Madrid
Hospital Universitario Ramón y Cajal
NOT_YET_RECRUITING
Madrid
Hospital Universitario Puerta de Hierro Majadahonda
NOT_YET_RECRUITING
Majadahonda
Complexo Hospitalario Universitario de Ourense
NOT_YET_RECRUITING
Ourense
Hospital Universitario Central de Asturias
NOT_YET_RECRUITING
Oviedo
Hospital Universitario Nuestra Señora de Candelaria
NOT_YET_RECRUITING
Santa Cruz De Tenerife
Hospital Universitario Marqués de Valdecilla
NOT_YET_RECRUITING
Santander
Hospital Clínico Universitario de Santiago
NOT_YET_RECRUITING
Santiago De Compostela
Hospital Universitario Joan XXIII
NOT_YET_RECRUITING
Tarragona
Hospital Clínico Universitario de Valencia
NOT_YET_RECRUITING
Valencia
Hospital Universitari i Politècnic La Fe
NOT_YET_RECRUITING
Valencia
Contact Information
Primary
Raquel García Álvarez, MD
raquelgarciaalvarez@gmail.com
+34913908243
Time Frame
Start Date: 2024-07-09
Estimated Completion Date: 2026-06
Participants
Target number of participants: 500
Sponsors
Leads: Hospital Universitario 12 de Octubre

This content was sourced from clinicaltrials.gov