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The Purpose of this study is to determine the impact of balanced salt solution versus chloride rich solution on clinical outcomes in paediatric severe sepsis or septic shock
The surviving sepsis campaign guideline recommended the isotonic crystalloids as the first choice of initial fluid resuscitation. The isotonic crystalloids are including chloride-rich solution (eg.NSS) and balanced salt solution. Retrospective study showed normal saline can induced hyperchloremic metabolic acidosis and acute kidney injury. However, no randomized controlled trial compare efficacy between the balanced salt solution and chloride rich solution.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Ringer Acetate | Experimental | Ringer acetate 10-20 ml/kg IV bolus when patient need fluid bolus |
|
| Normal saline | Active Comparator | NSS 10-20 ml/kg IV bolus when patient need fluid bolus |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Ringer acetate | Drug | Ringer acetate 10-20 ml/kg IV bolus in 15-30 min,repeat bolus as needed by patient status |
|
| Measure | Description | Time Frame |
|---|---|---|
| incidence of hyperchloremic metabolic acidosis | 48 hour |
| Measure | Description | Time Frame |
|---|---|---|
| 28 day and 90 day mortality rate | 28 days and 90 days |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Nattachai Anantasit, M.D. | Ramathibodi Hospital, Bangkok | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Department of Pediatric,Ramathibodi Hospital | Bangkok | 10400 | Thailand |
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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 |
|---|---|
| D000077330 | Saline Solution |
| ID | Term |
|---|---|
| D000077324 | Crystalloid Solutions |
| D007552 | Isotonic Solutions |
| D012996 | Solutions |
| D004364 | Pharmaceutical Preparations |
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| Normal saline | Drug | NSS 10-20 ml/kg IV bolus in 15-30 min,repeat bolus as needed by patient status |
|
|
| D013568 |
| Pathological Conditions, Signs and Symptoms |
| D012769 | Shock |