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This study compares the efficacy of two drugs i.e Adrenaline and dopamine in fluid refractory type of septic shock which is a dreadful medical condition especially in children. The efficacy will be checked based on heart rate , GCS, capillary refill time , palpable pripheral pulse , urine output and systolic blood pressure.
This is a randomized control trial in which children / patients diagnosed with Fluid refractory Septic shock will be provided with one of the two drugs ina randomzied way and their efficacy will be assesed on the basis of correction of various parameters at various points of time.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Group A | Experimental | These patients will receive 0.1-0.3ug/kg/min of adrenaline when diagnosed with fluid refractory Septic shock . |
|
| Group B | Active Comparator | The patients in this arm of study will be provided with dopamine 10-20ug/kg/min when diagnosed with fluid refractory septic shock. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Adrenaline | Drug | The adrenaline will be given as a vasoconstrictor in the dose of 0.1-0.3ug/kg/min to the patients in group A when diagnosed with fluid refractory septic shock |
|
| Measure | Description | Time Frame |
|---|---|---|
| Blood Pressure | The blood pressure of the patients will be meaures after administration of each drug at 20 mins and 6 hours. | 6 hours |
| Pulse | The pulse will be compared after adminitration of both drugs at 20 mins and 6 hours | 6 hours |
| Capillary Refill Time | Capillary Refill time will be assessed after administration of each drug at 20 mins and 6 hours | 6 Hours |
| Urine output | Urine output will be calculated from the time of administration of each drug at 20mins and 6 hours and comapred. | 6 hours |
| GCS | Glascow Comma Scale (GCS) will be asses at 20 mins and 6 hours after administration of each drug | 6 hours |
| Measure | Description | Time Frame |
|---|---|---|
| SOFA ( Sequential Organ Failure Assesment) | SOFA ( Sequential Organ Failure Assesment) score will be calculated afte adminitration of each drug at 20mins and 6 hours | 6 Hours |
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Inclusion Criteria:
Patients of both Genders having age range between 1month and 12 years with diagnosis of fluid refractory septic shock as per operational definition.
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Exclusion Criteria:
Patients with
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Hafiz Muhammad Abdullah Dr, MBBS | Contact | 03440846288 | mbilal1857@gmail.com |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| The Children Hospital and The Institute of Child Health Faisalabad | Recruiting | Faisalābad | Punjab Province | 38000 | Pakistan |
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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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| ID | Term |
|---|---|
| D004837 | Epinephrine |
| D004298 | Dopamine |
| ID | Term |
|---|---|
| D004983 | Ethanolamines |
| D000605 | Amino Alcohols |
| D000438 | Alcohols |
| D009930 | Organic Chemicals |
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| Dopamine | Drug | The drug dopamine will be adminitered in dose of 10-20ug/kg/min to the patients of group B when diagnosed with fluid refractory septic shock. |
|
| D010335 |
| Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D012769 | Shock |
| D000588 |
| Amines |
| D015306 | Biogenic Monoamines |
| D001679 | Biogenic Amines |
| D002395 | Catecholamines |
| D002396 | Catechols |
| D010636 | Phenols |
| D001555 | Benzene Derivatives |
| D006841 | Hydrocarbons, Aromatic |
| D006844 | Hydrocarbons, Cyclic |
| D006838 | Hydrocarbons |