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This study is an evaluation of the effect of ketanserine on sublingual microcirculation in intensive care patients with severe sepsis.
This is a pilot study, including 10 ICU patients with severe sepsis with MFI < 2,5 after fulfillment of a strict resuscitation protocol. At the start of the study, a baseline SDF measurement is made, when MFI < 2,5 inclusion in the study is permitted and intravenous ketanserin administration is started and subsequently increased, guided by the effect on sublingual MFI, until a safe maximum dosage is reached. Safety margins for hypotension are defined in the study protocol.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| administration of ketanserin | Other |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| ketanserin | Drug | ketanserin administration is started and increase, guided by the effect on sublingual MFI, dosage is 0,03mg/kg/hr |
|
| Measure | Description | Time Frame |
|---|---|---|
| microcirculation | achievement of a microvascular flow index >2,9 | 2 hours |
| Measure | Description | Time Frame |
|---|---|---|
| ketanserine dosage | obtaining a global indication of the ketanserin dosage needed to achieve a MFI >2,9 and the incidence of hypotension | 48 hours |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| E Boerma, MDPhD | Frisius Medisch Centrum | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Medical Centre Leeuwarden | Leeuwarden | Netherlands |
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| ID | Term |
|---|---|
| D018805 | Sepsis |
| D012772 | Shock, Septic |
| ID | Term |
|---|---|
| D007239 | Infections |
| D018746 | Systemic Inflammatory Response Syndrome |
| D007249 | Inflammation |
| D010335 | Pathologic Processes |
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| ID | Term |
|---|---|
| D007650 | Ketanserin |
| ID | Term |
|---|---|
| D010880 | Piperidines |
| D006573 | Heterocyclic Compounds, 1-Ring |
| D006571 | Heterocyclic Compounds |
| D052999 | Quinazolinones |
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| D013568 |
| Pathological Conditions, Signs and Symptoms |
| D012769 | Shock |
| D011799 |
| Quinazolines |
| D006574 | Heterocyclic Compounds, 2-Ring |
| D000072471 | Heterocyclic Compounds, Fused-Ring |