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The cerebrovascular autoregulation is impaired in patients with severe sepsis and septic shock. A continuous veno-venous hemodialysis may improve impaired cerebrovascular autoregulation.
Hypothesis: continuous hemodialysis recovers impaired cerebrovascular autoregulation in patients with acute severe sepsis and septic shock.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Hemodialysis | Patients with severe sepsis or septic shock with acute renal failure and requirement of continuous veno-venous hemodialysis |
| |
| No hemodialysis | Patients with severe sepsis or septic shock without acute renal failure and no requirement of continuous veno-venous hemodialysis |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| continuous veno-venous hemodialysis | Procedure |
|
|
| Measure | Description | Time Frame |
|---|---|---|
| Cerebrovascular autoregulation | Cerebrovascular autoregulation measured daily at the first 4 days of severe sepsis and septic shock | during the first 4 days |
| Measure | Description | Time Frame |
|---|---|---|
| Delirium | Incidence of Delirium at day 4 after severe sepsis or septic shock | at day 4 |
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Inclusion Criteria:
Exclusion Criteria:
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Patients with severe sepsis or septic shock at the intensive care unit of an university general hospital
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| Name | Affiliation | Role |
|---|---|---|
| Patrick Schramm, MD | Johannes Gutenberg University Mainz | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University Medical Center of the Johannes Gutenberg-Univerity | Mainz | 55131 | Germany |
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| ID | Term |
|---|---|
| D018805 | Sepsis |
| D012772 | Shock, Septic |
| D003693 | Delirium |
| ID | Term |
|---|---|
| D007239 | Infections |
| D018746 | Systemic Inflammatory Response Syndrome |
| D007249 | Inflammation |
| D010335 | Pathologic Processes |
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| ID | Term |
|---|---|
| D000079664 | Continuous Renal Replacement Therapy |
| D017582 | Renal Replacement Therapy |
| ID | Term |
|---|---|
| D013812 | Therapeutics |
| D005112 | Extracorporeal Circulation |
| D013514 | Surgical Procedures, Operative |
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Serum and whole blood
| 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 |