Use of Direct Peritoneal Resuscitation in High-risk Liver Transplant Recipients
Status unconfirmed · Phase 1
Conditions studied: End Stage Liver DIsease, Obesity, Acute Kidney Injury
In brief
This study is being conducted to assess the safety of Direct Peritoneal Resuscitation (DPR) in high-risk liver transplant patients. The investigators want to also identify if this method of recovery after large surgery has the same benefits in liver transplant patients as have been appreciated in other surgical patients. The combination of elevated BMI and impaired kidney function increases the risk of 1) needing intensive care unit (ICU) admission after surgery, 2) slow function of the new liver \[technically termed Early Allograft Dysfunction (EAD)\] and 3) need for more than one operation. The study team also aims to identify if DPR can reduce these risks and not cause other unexpected complications following surgery. DPR involves the infusion of a solution into the abdomen and has been shown to reduce edema and improve blood flow in organs. The solution used in this study is a commercially available peritoneal dialysate, a dextrose containing solution that is infused into the abdominal cavity and is routinely used in patients with end-stage renal disease requiring dialysis.
Key facts
- Study ID
- NCT05195125
- Run by
- University of Colorado, Denver
- People needed
- 15
- Starts
- 2022-02-01
- Expected to finish
- 2023-12-01
- Last updated by the study team
- 2023-06-08
Who can join
Age: 18 and older. Sex: any. Healthy volunteers: not accepted.
You may qualify if…
- Adult liver transplant recipients ≥18 y/o
- Ability to consent
- Pre-operative Creatinine ≥1.1 (or on dialysis) and BMI ≥30
You may not qualify if…
- Diaphragmatic injury
- Active spontaneous bacterial peritonitis (SBP) with initiation of antibiotic treatment within 72 hours of surgery
Where it is running
- UCHealth - Anschutz Medical Campus — Aurora, Colorado, United States
Full record on ClinicalTrials.gov
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