Status:

COMPLETED

The Effect Of Resuscitation Guided By Two Different Dynamic Parameters On Time To Normalization Of The Capillary Refill Time In Adult Patients With Septic Shock

Lead Sponsor:

Kasr El Aini Hospital

Collaborating Sponsors:

Mansoura University

Conditions:

Septic Shock

Resuscitation

Eligibility:

All Genders

19-60 years

Phase:

PHASE3

Brief Summary

The aim of this study is to compare the effect of resuscitation guided by Left ventricular outflow tract-velocity time integral (LVOT-VTI) variation versus the effect of resuscitation guided by inferi...

Detailed Description

Capillary refill time will be measured by applying firm pressure to the ventral surface of the right index finger distal phalanx with a glass microscope slide. The pressure will be increased until the...

Eligibility Criteria

Inclusion

  • adult patients ( ≥ 18 years) of either gender with septic shock according to the Sepsis-3

Exclusion

  • Known history of any cardiac pathology, acute coronary syndrome, cardiac dysrhythmias (as a primary diagnosis), acute pulmonary edema or known poor systolic cardiac function (left ventricular ejection fraction \< 50%).
  • Body mass index ≥ 35 kg/m2 .
  • Concomitant acute respiratory distress syndrome) or high PEEP (\> 10 cmH2O) requirements on mechanical ventilation (MV).
  • Child B or C liver cirrhosis.
  • End-stage renal disease with or without dialysis.
  • Pregnancy.
  • Multi-organ system failure.
  • Active hemorrhage.
  • Head trauma.
  • Intra-abdominal hypertension (\> 15 mmHg).
  • Declined to consent.

Key Trial Info

Start Date :

July 21 2023

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

January 1 2025

Estimated Enrollment :

90 Patients enrolled

Trial Details

Trial ID

NCT06122909

Start Date

July 21 2023

End Date

January 1 2025

Last Update

April 29 2025

Active Locations (2)

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Page 1 of 1 (2 locations)

1

Mansoura University, Central Hospital

Al Mansurah, Dakahlia Governorate, Egypt, 35511

2

Cairo university hospitals, kasralainy

Cairo, Egypt, 11559