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Continuous Central Venous Lactate Monitoring by Intravascular Microdialysis : a Comparison to Sequential Arterial Lactate Measurement During Shock.

Completed
Conditions
Shock
Registration Number
NCT03464747
Lead Sponsor
Centre Hospitalier Universitaire de Nīmes
Brief Summary

During shock, arterial hypotension, inadequate cardiac output and microcirculatory alterations lead to tissue hypoxia, multiple organ failure and death. Arterial lactate is considered as the best marker of tissue hypoxia. A lactate decrease during the first 6 hour is strongly associated with better outcome and may be used as a target for assessing the efficiency of shock resuscitation.

The EIRUS system (Maquet Critical Care AB, 17154, Solna, Sweden) is a new device allowing the continuous measurement of venous lactate through a central venous catheter.

However, before being used extensively, such device needs to be evaluated concerning its accuracy. The aim of the present study is to assess the reliability of this device.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
29
Inclusion Criteria

Acute circulatory failure defined as : systolic blood pressure<90mmHg or mean arterial pressure <65mmHg and blood lactate > 2mmol/L

Exclusion Criteria

Pregnant women

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
AgreementEvery 4hours for 48hours

Agreement between sequential arterial blood lactate measurement and continuous venous lactate obtained by microdialysis

Secondary Outcome Measures
NameTimeMethod
InterchangeabilityEvery 4hours for 48hours

Interchangeability of the variations of the two methods using the trend interchangeability method

Trial Locations

Locations (1)

CHU de Nîmes - Hôpital Universitaire Carémeau

🇫🇷

Nîmes Cedex 9, France

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