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During shock, arterial hypotension, inadequate cardiac output and microcirculatory alterations lead to tissue hypoxia, multiple organ failure and death. Arterial lactate is considered as the best marker of tissue hypoxia. A lactate decrease during the first 6 hour is strongly associated with better outcome and may be used as a target for assessing the efficiency of shock resuscitation.
The EIRUS system (Maquet Critical Care AB, 17154, Solna, Sweden) is a new device allowing the continuous measurement of venous lactate through a central venous catheter.
However, before being used extensively, such device needs to be evaluated concerning its accuracy. The aim of the present study is to assess the reliability of this device.
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| EIRUS system (Maquet Critical Care AB, 17154, Solna, Sweden) | Device | continuous measurement of venous lactate through a central venous catheter by microdialysis |
| Measure | Description | Time Frame |
|---|---|---|
| Agreement | Agreement between sequential arterial blood lactate measurement and continuous venous lactate obtained by microdialysis | Every 4hours for 48hours |
| Measure | Description | Time Frame |
|---|---|---|
| Interchangeability | Interchangeability of the variations of the two methods using the trend interchangeability method | Every 4hours for 48hours |
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Inclusion Criteria:
Acute circulatory failure defined as : systolic blood pressure<90mmHg or mean arterial pressure <65mmHg and blood lactate > 2mmol/L
Exclusion Criteria: Pregnant women
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ICU patients
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| CHU de Nîmes - Hôpital Universitaire Carémeau | Nîmes | 30029 | France |
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| ID | Term |
|---|---|
| D012769 | Shock |
| ID | Term |
|---|---|
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
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