Controlled Fluid Removal in Critical Ill Patients With Fluid Overload in the Intensive Care Unit.

Trial statusRecruiting
Trial phasePhase 4
Trial typeInterventional
Biological sexAll
Age18+
SponsorMorten H. Bestle

About this trial

This study evaluates the benefits and harms of goal directed fluid removal with furosemide versus placebo in critical ill adult patients with fluid overload in the intensive care unit. Half of the patients will receive furosemide and the other half placebo. The treatment will continue until the excess fluid is excreted.

Eligibility criteria

Qualifiers

Acute admission to the intensive care unit.

Age ≥ 18 years of age

Fluid overload ≥ 5% of ideal body weight. If possible, all fluids administered before admission to the intensive care unit are to be included in the calculation of cumulative fluid balance.

Clinical stable (minimum criteria: MAP > 50 mmHg and maximum infusion of 20 microgram/kg/minute of noradrenaline and lactate < 4.0 mmol/L)

Disqualifiers

Known allergy to furosemide or sulphonamides.

Known pre-hospitalization advanced chronic kidney disease (eGFR < 30 mL/minute/1.73 m² or chronic RRT).

Ongoing renal replacement therapy.

Anuria > 6 hours.

Trial design

Treatments tested in this trial

  • Furosemide
  • Isotonic saline

Treatment groups

1,000 Participants
are divided into 2 treatment groups

Sponsors and collaborators

Morten H. Bestle

Lead sponsor

Nordsjaellands Hospital

Sponsor institution

University of Copenhagen

Collaborator

Copenhagen Trial Unit, Center for Clinical Intervention Research

Collaborator

Centre for Research in Intensive Care (CRIC)

Collaborator