Septic shock Delirium Cognitive function
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: In February 2016, at the 45th Annual Meeting of Critical Care Medicine, the American Society of Critical Care Medicine (SCCM) and the European Society of Critical Care Medicine (ESICM) jointly issued the definition and diagnostic criteria for Sepsis 3.0, namely, sepsis is defined as a life-threatening organ dysfunction caused by the host's maladjusted response to infection. Septic shock is the onset of persistent hypotension on the basis of sepsis and the need for vasoactive agents (norepinephrine) to maintain mean arterial pressure (MAP) =65mmHg and blood lactic acid concentration > 2mmol/L after full volume resuscitation. The diagnosis was finally confirmed by three experienced clinicians.
Exclusion criteria
Exclusion criteria: (1) Under the age of 18. (2) History of mental disorders or craniotomy. (3) neurological diseases (definite intracranial lesions, such as cerebral hemorrhage, subarachnoid hemorrhage, craniocerebral trauma, stroke, intracranial infection, etc.). (4) Hepatic failure combined with hepatic encephalopathy is suspicious. (5) Taking antidepressant or antiepileptic medications. (6) Drug or poison poisoning, alcohol dependence. (7) Pregnancy. (8) Severely impaired hearing and vision. (9) Cervical vascular examination, head MRI/CT and TCD examination found abnormalities (such as carotid artery plaque, thrombosis, etc.). (10) TCD/TCCD could not detect the blood flow signal in the temporal window. Sources of literature support (based on previous prospective observational studies)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Transient hyperemia response rate; | — |
Secondary
| Measure | Time frame |
|---|---|
| APACHE ?score;SOFA score;Sedative and analgesic medications;Continuous renal replacement therapy; | — |
Countries
China
Contacts
Peking University Shenzhen Hospital