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UnknownNCT04398069

Hemodynamic Optimisation Guided With Transcranial Doppler in Septic Shock

Status
Unknown
Phase
N/A
Study type
Interventional
Enrollment
24 (estimated)
Sponsor
Mongi Slim Hospital · Academic / Other
Sex
All
Age
18 Years
Healthy volunteers
Not accepted

Summary

Randomized, controlled, prospective trial, including ICU patients with Sepsis or septic Shock, at the early phase. patients will be randomized in 2 groups regarding the hemodynamic management and catecholamin doses: * Group 1: standard hemodynamic goals and catecholamin infusion to achieve: mean arterial pressure \> or equal to 65 mmHg and diastolic arterial pressure \> ou equal to 50 mmHg within the first 60 minutes. * Group 2: personalized hemodynamic goals and catecholamin infusion until normal transcranial doppler: IP\<1,2.

Detailed description

Randomized, controlled, prospective trial, including ICU patients with Sepsis or septic Shock, at the early phase. patients will be randomized in 2 groups regarding the hemodynamic management and catecholamin doses: * Group 1: standard hemodynamic goals and cathecolamin infusion to achieve: mean arterial pressure \> or equal to 65 mmHg and diastolic arterial pressure \> ou equal to 50 mmHg within the first 60 minutes. * Group 2: personalized hemodynamic goals and cathecolamin infusion until normal transcranial doppler: IP\<1,2. For the 2 groups, standard management including: microbiological sampling, early broad spectrum anti infective therapy, fluid management and decreasing of blood lactate levels, will be aimed within the first 60 minutes. For the Group 2 patients: personalized hemodynamic management will be maintained during 72 hours.

Conditions

Interventions

TypeNameDescription
PROCEDUREhemodynamic optimisation aiming to achieve normal cerebral perfusionhemodynamic optimisation aiming to achieve normal cerebral perfusion: titration of catecholamin infusion.

Timeline

Start date
2020-01-02
Primary completion
2020-08-31
Completion
2020-10-30
First posted
2020-05-21
Last updated
2020-05-21

Locations

1 site across 1 country: Tunisia

Source: ClinicalTrials.gov record NCT04398069. Inclusion in this directory is not an endorsement.