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Delirium in the ICU is a prevalent problem occurring in up to 80% of ICU patients. A potential cause of delirium in ICU patients could be cerebral hypoxia. Septic shock is associated with high rates of delirium.
The aim of this pilot study is two fold. First, to determine the feasibility and potential challenges of measuring cerebral oxygenation in ICU patients with severe sepsis and septic shock. And second, to see if the incidence and magnitude of cerebral desaturations correlated with ICU acquired delirium as measured by the Confusion Assessment Method (CAM) scores.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Patients with Cerebral Desaturation | We will compare the primary and secondary outcomes between the patients who experience cerebral desaturations and those that do not. |
| |
| Patients without cerebral desaturation | We will compare the primary and secondary outcomes between the patients who experience cerebral desaturations and those that do not. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Observation | Other |
|
| Measure | Description | Time Frame |
|---|---|---|
| Incidence of Delirium | 28 Days |
| Measure | Description | Time Frame |
|---|---|---|
| Death | 28 Days |
| Measure | Description | Time Frame |
|---|---|---|
| Renal Failure | Defined using RIFLE Criteria | 28 Days |
Inclusion Criteria:
Exclusion Criteria:
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Adult patients admitted to the Intensive Care Unit with Septic Shock
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Health Sciences Center | Winnipeg | Manitoba | R3A1R9 | Canada |
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| ID | Term |
|---|---|
| D012772 | Shock, Septic |
| D003693 | Delirium |
| D051437 | Renal Insufficiency |
| ID | Term |
|---|---|
| D018805 | Sepsis |
| D007239 | Infections |
| D018746 | Systemic Inflammatory Response Syndrome |
| D007249 | Inflammation |
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| ID | Term |
|---|---|
| D019370 | Observation |
| ID | Term |
|---|---|
| D008722 | Methods |
| D008919 | Investigative Techniques |
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| D010335 |
| Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D012769 | Shock |
| D003221 | Confusion |
| D019954 | Neurobehavioral Manifestations |
| D009461 | Neurologic Manifestations |
| D009422 | Nervous System Diseases |
| D012816 | Signs and Symptoms |
| D019965 | Neurocognitive Disorders |
| D001523 | Mental Disorders |
| D007674 | Kidney Diseases |
| D014570 | Urologic Diseases |
| D052776 | Female Urogenital Diseases |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
| D052801 | Male Urogenital Diseases |