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Fluid Intolerance Signals as Safety Limits to Prevent Fluid-induced Harm During Septic Shock Resuscitation

Not Applicable
Not yet recruiting
Conditions
Septic Shock
Registration Number
NCT06568744
Lead Sponsor
Pontificia Universidad Catolica de Chile
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Not yet recruiting
Sex
All
Target Recruitment
62
Inclusion Criteria

Inclusion Criteria:<br><br> - Diagnosed or suspected septic shock<br><br> - < 24 hours since diagnosis<br><br> - Hypoperfusion signal (altered arterial lactate or CRT) that requires further<br> resuscitation<br><br> - Mechanical ventilation<br><br> - Positive fluid responsiveness status<br><br>Exclusion Criteria:<br><br> - Pregnancy<br><br> - Do-not-resuscitate status<br><br> - Acute coronary syndrome<br><br> - Active bleeding<br><br> - Severe concomitant acute respiratory distress syndrome (ARDS) (PaO2:FiO2 ratio <<br> 100)<br><br> - Anticipated surgery, prone positioning, or renal replacement therapy in the next 6<br> hours<br><br> - Refractory shock according to attending physician<br><br> - BMI > 40.<br><br> - Inadequate echocardiographic window

Exclusion Criteria

Not provided

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Delta of PaO2: fraction of inspired oxygen (FiO2) ratio between 0-6 hours
Secondary Outcome Measures
NameTimeMethod
Delta of proBNP between 0-6 hours;Delta of plasma neutrophil gelatinase-associated lipocalin (NGAL) between 0-6 hours;Delta of creatinine between 0-6 hours;Delta of capillary refill time between 0-6 hours;Delta of arterial lactate between 0-6 hours
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