NL-OMON41896
Completed
Not Applicable
Resuscitation Strategies in Septic Shock (ReSSeS). A randomized controlled trial of two different fluid loading strategies in ICU patients with early septic shock. - The ReSSeS Study
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- bloodstream infection
- Sponsor
- Medisch Spectrum Twente
- Enrollment
- 170
- Status
- Completed
- Last Updated
- 2 years ago
Overview
Brief Summary
No summary available.
Investigators
Eligibility Criteria
Inclusion Criteria
- •1 Age \> 18 years
- •2 Clinical evidence of sepsis (microbiology confirmation, radiological or direct view (pus in biological fluid) or direct surgical view).
- •3 \* 2 SIRS criteria:
- •a. Temperature \< 36\.0°C or \> 38\.0°C
- •b. Heart rate \> 90 bpm
- •c. Respiratory rate \> 20 rpm or PaCO2 \< 4\.2 kPa or need of mechanical ventilation.
- •d. Leukocytes \> 12\.0 x109/L or \< 4\.0 x109/L or \>10% bands
- •4 Circulatory shock defined as sustained systemic hypotension (systolic arterial pressure \<90 mmHg or MAP \<65 mmHg (\<75 mmHg in a hypertensive patient) despite a 1,000 ml IV fluid challenge over 30 min (including IV fluids administered pre\-ICU) or the need for vasopressor therapy. Hypertensive patients are patients with a history of confirmed hypertension treated with antihypertensive agents.
- •5 Mechanical ventilation by endotracheal tube (any form)
Exclusion Criteria
- •1 Pregnancy
- •2 Pre\-terminal illness with life expectancy \<28 days
- •3 Duration of circulatory shock \>6 hours
- •4 Severe peripheral arterial vascular occlusion disease (Fontaine level III\-IV)
- •5 Inability for femoral artery canulation
- •6 No informed consent
Outcomes
Primary Outcomes
Not specified
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