Hemadsorption to Enhance Drug Elimination in Intoxications

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorUniversitair Ziekenhuis Brussel

About this trial

In this trial the investigators assess the effectiveness of applying a hemadsorber (cytosorb®) in removing benzodiazepines or tricyclic antidepressants in intoxicated patients admitted to ICU with prolonged impaired consciousness. This is a one arm interventional investigation where a hemadsorption filter is applied in patients fulfilling inclusion criteria 8 hours after admission. Plasma titer of the neurodepressing drug will be collected sequentially both before and after start of hemadsorption to evaluate the speed of drug elimination before and after application of a hemadsorption filter. Pre- and post filter titers will be obtained to evaluate adsorbability and to evaluate time to saturation of the filter.

Eligibility criteria

Qualifiers

older than18 years

Admission to ICU

GCS < 8 or requiring Flumazenil 8 hours after hospital admission

Having an intoxication with a benzodiazepine or tricyclic antidepressant that we can measure/quantify

Disqualifiers

Pregnant patient

Patients in chronic dialysis before admission

Need for mechanical ventilation for other reasons than intoxications (e.g. pneumonia, neurotrauma)

Concomitant pathology requiring continued intravenous sedation

Trial design

Treatments tested in this trial

  • Hemadsorption filter

Treatment groups

18 Participants
are divided into 1 treatment group