Septic Shock
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Participants must meet all the following conditions to be included in this study: (1) Age = 18; (2) Sign informed consent; (3) Meet the sepsis 3.0 diagnostic criteria issued by the Society of Critical Care Medicine (SCCM) and the European Society of Intensive Care Medicine (ESICM); (4)The lactate level is greater than 2mmol/L and the intravenous infusion volume has reached at least 20mL/kg, but vasopressor drugs are still needed to maintain mean arterial pressure (MAP) = 65mmHg; (5) Diagnosed within 6 hours before enrollment.
Exclusion criteria
Exclusion criteria: 1: Pregnant women 2: Unstable circulatory caused by active bleeding 3: Clearly diagnosed the following diseases: acute cerebrovascular disease or acute coronary syndrome or acute poisoning 4: Absolute contraindications for central venous catheterization in the chest or neck 5: Immediate surgery or dialysis within 6 hours 6: Unable to receive and complete informed consent within 6 hours of being diagnosed with sepsis 7: Incomplete acceptance of various standard bundled treatments.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| All-cause mortality on the 28th day after randomization; | — |
Secondary
| Measure | Time frame |
|---|---|
| The proportion of patients who require mechanical ventilation and kidney replacement therapy;Proportion of acute kidney injury;Proportion of?intra-abdominal hypertension;Lactate compliance rate at the 8th hour;Possible factors for software compliance and inconsistent decision-making;Fluid balance;Lactate clearance rate at the 8th hour;Fluid resuscitation volume at the 8th hour;Mortality (including ICU mortality, hospital mortality, and 90 day mortality);Length of stay in ICU and hospital;SOFA score and APACHE II score;Days without MV, vasopressor drugs, and RRT within 28 days; | — |
Countries
China
Contacts
Ruijin Hospital, Shanghai Jiao Tong University School of Medicine