Health Condition 1: I998- Other disorder of circulatory system
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Inclusion Criteria 1 Age 18 years or more 2 Diagnosis of septic shock according to the Sepsis3 criteria 3 Requirement of vasopressor therapy to maintain MAP more than 65 mmHg despite adequate fluid resuscitation
Exclusion criteria
Exclusion criteria: Exclusion Criteria: 1. Lack Of Consent, 2. Known Cardiovascular Impairment [Cardiac Index (Ci) Less Than 2.2 L/Min/M2 ], 3. Unstable Coronary Artery Disease (Acute Angina or Myocardial Infarction In The Course Of Septic Shock, Based On History, Cardiac Biomarkers And Electrocardiogram), 4. Stroke Or Head Injury, 5. Chronic Renal Failure on Maintenance Dialysis, Advanced Stages Of Malignancy, 6. Acute Mesenteric Ischemia, 7. Raynaud s Disease, 8. Pregnant Women, 9. Patients With Transplanted Organs, And 10. Known Hypersensitivity To Norepinephrine Or Vasopressin.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Primary Outcome: 1. Incidence of renal failure, 2. Need for renal replacement therapy (RRT) 3. Changes in SOFA scores at 24 hours Timepoint: To compare the effectiveness of norepinephrine plus vasopressin versus norepinephrine alone to prevent acute renal failure in patients with septic shock. | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary Outcomes: 1. Total dose of norepinephrine required to achieve and maintain the target MAP 2. ICU and hospital length of stay. 3. Incidence of new organ dysfunction (SOFA score). 4. Adverse events related to vasopressor therapy (e.g., arrhythmias, ischemia). Timepoint: Total dose of norepinephrine required to achieve and maintain the target MAP in patients with septic shock. | — |
Countries
India
Contacts
sri ramachandra medical education and research