sepsis
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Aged 18 years old or more; 2. Admitted ICU patients at first time; 3. Patients with complicated intra-abdominal infection. Diagnostic criteria for complicated intra-abdominal infectionmanifesting secondary or tertiary peritonitis, single or multiple intra-abdominal abscesses, or an intra-abdominal phlegmon. 4. Patients with septic shock. Diagnostic criteria for septic shocksepsis and SOFA score=2, MAP2mmol/L, and Cardiovascular SOFA score more than 2; 5. Patients with AKI. Diagnostic criteria for AKIserum creatinine more than 2 times baseline, or urine output <0.5 ml/kg/h for =12 h; 6. Informed consentwas obtained frompatient or the patient's relative or surrogate.
Exclusion criteria
Exclusion criteria: 1. A patient whose condition is irreversible or dying; 2. Willingness to cease or cancel life-support in an artificial manner (abandonment of treatment); 3. Chronic organ dysfunction syndrome (Including Chronic Renal Failure); 4. Severe thrombocytopenia (platelet count of 30×10^9/L); 5. Patients with the intracranial hemorrhage or uncontrollable hemorrhage; 6. Anaphylaxis to heparin or a history of heparin-induced thrombocytopenia; 7. Accompanied by III degree burns or scald; 8. Severe granulocytopenia (leukocyte count of 0.5×10^9/L); 9. Organ transplantation in the last year; 10. Women who are either pregnant or breast feeding; 11. HIV-positive; 12. Suspecting with active tuberculosis; 13. Participated other drugs/instrument clinical study within 3 months before this study.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| vasopressor dependency index, VDI; | — |
Secondary
| Measure | Time frame |
|---|---|
| Inotropic score;mean arterial pressure;Total fluid balance;SOFA score;28-days Deaths;Ventilation duration;Lymphocyte count;Service life of filter; | — |
Countries
China
Contacts
The Sixth Affiliated Hospital, Sun Yat-sen University