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The trial investigates the effect of cytokine elimination in patients with septic schock and acute renal failure with need for renal replacement therapy on the integrity of cerebrovascular autoregulation. Patients with inclusion criteria were randomly assign in either use of CytoSorb filter integrated in renal replacement therapy versus non additional filter an renal replacement therapy alone. Cerebrovascular autoregulation will be measured with transcranial Doppler ultrasound and correlation with arterial blood pressure.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Filter | Active Comparator | Patients with CytoSorb absorber |
|
| Control | No Intervention | Patients without CytoSorb absorber |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Cytokine absorption | Device | Use of CytoSorb absorber |
|
| Measure | Description | Time Frame |
|---|---|---|
| Differences in the index of cerebrovascular autoregulation (Mx) between both groups | Integrity of the cerebrovascular autoregulation will be measured using the index of cerebrovascular autoregulation Mx (moving correlation index). Outcome is the difference of the mean Mx between both groups and, therefore, the difference of integrity of the cerbrovascular autoregulation. A difference of 0.2 in Mx was set as clinically relevant. | days 1 to 4 after diagnosis of septic shock |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University Medical Center of the Johannes Gutenberg-Univerity | Recruiting | Mainz | 55131 | Germany |
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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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| D010335 |
| Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D012769 | Shock |