Status:

COMPLETED

The Effect of Vasopressors on the Anti Xa Response to Enoxaparin in Critically Ill Patients

Lead Sponsor:

Shaare Zedek Medical Center

Conditions:

Venous Thrombosis

Critical Illness

Eligibility:

All Genders

18+ years

Phase:

PHASE4

Brief Summary

The purpose of this study is to evaluate the efficacy of 3 different dosing regimens of enoxaparin in achieving adequate antithrombotic aFXa levels in critically ill patients. The relationship betwee...

Detailed Description

Critically ill patients are at increased risk of venous thrombosis and embolism from DVT. Low molecular weigh heparins such as enoxaparin (clexane) have more favorable pharmacokinetic/ pharmacodynamic...

Eligibility Criteria

Inclusion

  • All critically ill patients, aged ≥18 years, with a predicted requirement for mechanical ventilation of more than 3 days and for whom venous thromboembolic prophylaxis is indicated.
  • \-

Exclusion

  • Patients requiring full anticoagulation
  • Administration of unfractionated heparin in the 8hrs preceding study entry
  • Existing contraindication to prophylactic dose of enoxaparin.
  • Platelets \< 75,000
  • Significant renal failure (creatinine clearance \<30 ml/min/m2) \[39\]
  • BMI \> 30
  • INR \> 1.7
  • Any conditions precluding treatment in the opinion of the primary physician
  • Patient /surrogate refusal
  • \-

Key Trial Info

Start Date :

February 1 2007

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

September 1 2015

Estimated Enrollment :

39 Patients enrolled

Trial Details

Trial ID

NCT00351663

Start Date

February 1 2007

End Date

September 1 2015

Last Update

April 20 2016

Active Locations (1)

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Shaare Zedek Medical Center

Jerusalem, Israel, 91031