NCT02301585

Optimization of Fluid Therapy in Sepsis by a Passive Leg Raising Test

Optimization of Fluid Therapy by a Passive Leg Raising Test in Patients With Septic Shock in the ICU

• Status: Terminated
• Phase: N/A
• Study type: Interventional
• Enrollment: 34 (actual)
• Sponsor: Karolinska Institutet · Academic / Other
• Sex: All
• Age: 18 Years
• Healthy volunteers: Not accepted

Summary

A randomized controlled clinical trial to evaluate whether a passive leg raising test to guide fluid therapy of patients with septic shock can reduce fluid balance and weight gain. Patients will be treated according to an algorithm in which the indexed stroke volume (stroke volume related to body surface area) and mean arterial pressure will guide the timing and amount of fluid and the use of inotropic and vasoactive support. Patients will be randomized to either an intervention group in which a passive leg raising test will be made prior to any decision for fluid administration or to a control group where this test is not performed and fluid administration is carried out according to standard of care at the department. Hypothesis: A passive leg raising test, will reduce weight gain by day 3 by 30%.

Conditions

• Shock, Septic

Interventions

Type	Name	Description
PROCEDURE	Passive Leg Raising Test	Before decision on fluid administration a passive leg raising test is performed. The results are interpreted according to a treatment protocol. If the test indicates fluid irresponsiveness optimization of circulation will be done with vasopressors or inotropes.
PROCEDURE	Standard of care	Patients are treated according to Surviving Sepsis Guidelines

Timeline

• Start date: 2014-02-01
• Primary completion: 2016-02-01
• Completion: 2016-02-01
• First posted: 2014-11-26
• Last updated: 2016-02-09

Locations

1 site across 1 country: Sweden