Crystalloid Fluid Choice and Neurological Outcome in Patients After Subarachnoid Haemorrhage
Crystalloid Fluid Choice and Neurological Outcome in Patients After Subarachnoid Haemorrhage - a Multi-center Randomized Double-blind Clinical Trial
Insel Gruppe AG, University Hospital Bern
320 participants
May 24, 2022
INTERVENTIONAL
Conditions
Summary
Patients with subarachnoid hemorrhage are prone to suffer from dysnatriemia. Evidence shows that hyponatriemia is associated with increased incidence of vasospasm, brain swelling and mortality in these patients. Patients with subarachnoid hemorrhage often require large amounts of iv fluids in order to maintain euvolemia and support cardiocirculatory function. Prior evidence shows that the type of infusion fluid significantly influences blood sodium content. Hence, this study evaluated whether the sodium content of the infusion solution impacts mortality and morbidity in patients with subarachnoid hemorrhage.
Eligibility
Inclusion Criteria1
- All adult patients suffering from non-traumatic subarachnoid haemorrhage.
Exclusion Criteria5
- Patients with major intra-cranial trauma
- Diagnosis of an AV-malformation as the source of subarachnoid hemorrhage on the primary CT/MRI or angiography
- More than 24 hours after diagnosis of subarachnoid haemorrhage as diagnosed by cerebral imaging (CT scan or MRI)
- Patients with clear limitation to therapy at hospital admission (eg ICU admission for evaluation of organ donation)
- Declining of informed consent
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Interventions
We will compare two already established treatment protocols: the use of normal saline versus lactated Ringer's for fluid therapy in patients with subarachnoid hemorrhage.
We will compare two already established treatment protocols: the use of normal saline versus lactated Ringer's for fluid therapy in patients with subarachnoid hemorrhage.
Locations(3)
View Full Details on ClinicalTrials.gov
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NCT04043598