A Novel Strategy of ECMO Management Using Nafamostat for Regional Combined With Low Intensity Systematic Anticoagulation
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Nafamostat, Heparin.
- Who it may be relevant to
- Registry conditions: ECMO. Basic parameters: from 18 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- China
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Official title
A Novel Strategy Combined Regional Anticoagulation in Membrane Oxygenator and Low-intensity of Systemic Anticoagulation Applied in Management of Extracorporeal Membrane Oxygenation
Overview
ECMO is widely used in patients with refractory respiratory and/or circulatory failure.The data shows that the incidence of bleeding and thrombotic events is still above 40%,and it is closely related to the increase in mortality rate.Therefore, optimizing ECMO anticoagulation management to reduce bleeding and thrombotic events is a key scientific issue that urgently needs to be addressed.
Interventions
- Drug Nafamostat
Nafamostat combined with unfractionated heparin for anticoagulation - Drug Heparin
unfractionated heparin for anticoagulation
Primary outcome measures
- incidence of ECMO related bleeding or thrombotic events [Time frame: 28 days]
Eligibility criteria
Inclusion criteria
- age older than 18 years old
- received ECMO because of severe respiratory failure
Exclusion criteria
- anticoagulant contraindications
- cerebral infarction or suspected patients
- severe hypertension
- women in gestational and lactational period
- hemophilia
- allergic to heparin or Nafamostat
- unwilling or unable to complete the study
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- Randomized
- Model
- Parallel assignment
- Masking
- Single blind
- Primary purpose
- Treatment
Study locations
China · 1 center
- Bing Sun — Beijing
Identifiers
NCT: NCT06676085 · Nafamostat in ECMO