The pharmacodynamics of unfractionated heparin and fondaparinux in critically ill patients with severe sepsis.
Dr M Robertson
15 participants
Jul 1, 2006
Interventional
Conditions
Summary
Given the significant incidence of deep venous thromboses (DVT) in critically ill patients and the failure of current prophylactic regimens to fully prevent DVT, additional pharmacokinetic information regarding the efficacy of heparin and fondaparinux in critically ill patients is required. We aim to assess the bioavailability of heparin administered subcutaneously and intravenously and fondaparinux administered subcutaneously in a cohort of critically ill patients with severe sepsis.
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Interventions
This is a pharmacokinetic study to assess the bioavailability of heparin and fondaparinux (blood thinning agents) in Intensive care Unit (ICU) patients with sepsis. The bioavailability of these blood thinning agents will be measured by blood tests of the factor Xa inhibition during the 72 hour study period. Patients will be randomised to receive the three anticoagulant (blood thinning) regimens sequentially and have repeated tests of the inhibition of factor Xa activity. The three heparin regimes to be assessed are: 1. Heparin 5000 Units administered subcutaneously twice daily. 2. Heparin 10 000 Units intravenously over 24 hours. 3. Fondaparinux 2.5 mg subcutaneously once daily.
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ACTRN12606000285550