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Too slow recruitment.
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The purpose of this study is to reveal if higher doses of vasopressors in septic shock patients correlates with cerebral vasoconstriction and lower cerebral oximetry.
The mortality with septic shock is high. Treatment includes antibiotics, intravenous fluid and drugs for circulatory support, especially the vasopressor norepinephrine. Fluids and drugs for circulatory support are to restore adequate organ perfusion. Inadequate oxygenation of the brain can give neurologic damage. Traditionally treatment is guided by surrogate markers like arterial and central venous pressure. Cerebral oximetry is a non-invasive method which measures cerebral saturation of oxygen, SCO2, and thereby expresses regional cerebral perfusion. By registering cerebral oxymetry on patients treated with vasopressors for septic shock we want to reveal if higher doses of vasopressor correlates with cerebral vasoconstriction and lower cerebral oximetry.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Septic shock and vasopressor | Measuring cerebral oxymetry (SCO2) first 24 hours in septic shock and given vasopressors. |
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| Measure | Description | Time Frame |
|---|---|---|
| Number of minutes of SCO2-values lower than 50 or reduced by 20% during 24 hours | SCO2 will be measured before initiating vasopressor therapy. Thereafter SCO2 are updated every 2 seconds and is measured for 24 hours. | 24 hours |
| Measure | Description | Time Frame |
|---|---|---|
| Incidence of acute myocardial infarction | Incidence of acute myocardial infarction based on international criteria | Hospital discharge, expected 12 days at average |
| Use of vasopressors/inotropes |
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Inclusion Criteria:
Exclusion Criteria:
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Patients in the intensive care unit needing vasopressor for septic shock.
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| Name | Affiliation | Role |
|---|---|---|
| Karl-Andre Wian, cand.med. | Syekhuset Vestfold HF | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Sykehuset i Vestfold HF | Tønsberg | Vestfold | N-3117 | Norway |
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| ID | Term |
|---|---|
| D012772 | Shock, Septic |
| ID | Term |
|---|---|
| D018805 | Sepsis |
| D007239 | Infections |
| D018746 | Systemic Inflammatory Response Syndrome |
| D007249 | Inflammation |
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Serum
Use of vasopressors/inotropes
| Discharge from ICU, expected 5 days at average |
| Fluid balance | 24 hours |
| Length of stay in ICU | Discharge from ICU, expected 5 days at average |
| Length of stay in hospital | Discharge from hospital, expected 10 days at average |
| Incidence of organ failure | Measuring Sequential Organ Failure Assessment, SOFA, score at inclusion and once daily during ICU-stay. | Discharge from ICU, expected 5 days at average |
| D010335 |
| Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D012769 | Shock |