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| Name | Class |
|---|---|
| Lithuanian University of Health Sciences | OTHER |
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During infections (sepsis) bloodflow in small vessels (microcirculation) becomes disturbed. Restoration of bloodpressure and cardiac performance may not be sufficient to correct these alterations. Magnesium is a potent vasodilator which may be used to open up the small vessels, in order to reduce organ failure.
In a single-center open label study we evaluated the effects of magnesium sulphate (MgS) infusion on the sublingual microcirculation perfusion in fluid resuscitated patients with severe sepsis and septic shock within the first 48 hours after ICU admission. Directly prior to and after 1 hour of magnesium sulphate (MgS) infusion (2 gram) systemic hemodynamic variables, sublingual SDF images and standard laboratory tests, were obtained.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| severe sepsis and septic shock |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Magnesium Sulfate | Drug | 2 gram in 1 hour |
|
| Measure | Description | Time Frame |
|---|---|---|
| microvascular flow index | Directly prior to and after 1 hour of magnesium sulphate (MgS) infusion (2 gram) systemic hemodynamic variables, sublingual SDF images and standard laboratory tests, were obtained. | 1 hour |
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Inclusion Criteria:
Exclusion Criteria:
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severe sepsis and septic shock after adequate fluid resuscitation according to pulmonary artery catheter measurements
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| Name | Affiliation | Role |
|---|---|---|
| A Pranskunas, MD | Lithuanian university of sciences | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hospital of Lithuanian university of health sciences | Kaunas | LT 44307 | Lithuania |
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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 |
|---|---|
| D008278 | Magnesium Sulfate |
| ID | Term |
|---|---|
| D017616 | Magnesium Compounds |
| D007287 | Inorganic Chemicals |
| D013431 | Sulfates |
| D013464 | Sulfuric Acids |
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| D013568 |
| Pathological Conditions, Signs and Symptoms |
| D012769 | Shock |
| D013456 |
| Sulfur Acids |
| D013457 | Sulfur Compounds |