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Fluid resuscitation remains the foundation for septic treatment.The evaluation of fluid responsiveness has significance in volume resuscitation for septic shock patients. As the sedative which is commonly used in ICU, Midazolam is supposed to change fluid responsiveness for the pharmacological effect of venodilation. However, the hypothesis has not been certified clinically. In this research, the investigators aim to test the hypothesis that Midazolam can increase fluid responsiveness(using passive leg raising test) in septic shock patients.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Midazolam | Experimental | Midazolam infused at a 0.03mg/kg loading dose ,and 0.02-0.1mg/kg.h maintenance dose to achieve Ramsay score of 4 |
|
| Propofol | Experimental | Propofol infuse at a loading dose of 0.5mg/kg,and 0.5-2.0mg/kg.h maintenance dose to achieve Ramsay score of 4 |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| sedatives(Midazolam and Propofol) | Drug |
|
| Measure | Description | Time Frame |
|---|---|---|
| percentage of participants with more than 10% increase of cardiac index by passive leg raising after sedation | Baseline,after sedation |
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Patients are included if they meet the following inclusion criteria:
Exclusion Criteria
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Department of Critical Care , Zhong-da Hospital | Nanjing | Jiangsu | (86)210009 | China |
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| ID | Term |
|---|---|
| D012772 | Shock, Septic |
| D018805 | Sepsis |
| ID | Term |
|---|---|
| D007239 | Infections |
| D018746 | Systemic Inflammatory Response Syndrome |
| D007249 | Inflammation |
| D010335 | Pathologic Processes |
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| ID | Term |
|---|---|
| D015742 | Propofol |
| ID | Term |
|---|---|
| D010636 | Phenols |
| D001555 | Benzene Derivatives |
| D006841 | Hydrocarbons, Aromatic |
| D006844 | Hydrocarbons, Cyclic |
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| D013568 |
| Pathological Conditions, Signs and Symptoms |
| D012769 | Shock |
| D006838 |
| Hydrocarbons |
| D009930 | Organic Chemicals |