The primary purpose of the study is an examination of the ability of lipid emulsions and carnitin supplementation to reduce the morbidity associated with sepsis and catabolic conditions by altering energy balance, in addition to limiting catabolism in critically ill children and neonates.
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Inclusion Criteria - all infants admitted in the ICU with the diagnosis: - a) sepsis (sepsis definition: Goldstein B 2005) - b) perinatal asphyxia (asphyxia definition: Low J 1997) - c) severe illness e.g. multitrauma Are the trial subjects under 18? yes Number of subjects for this age range: F.1.2 Adults (18-64 years) no F.1.2.1 Number of subjects for this age range F.1.3 Elderly (>=65 years) no F.1.3.1 Number of subjects for this age range
Exclusion criteria
Exclusion criteria: Exclusion Criteria Premature infants Infants with cerebral palsy (ICP) and seizures Dialysis Congenital heart failure Chromosomal anomalies
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: The primary purpose of the study is an examination of the ability of lipid emulsions and carnitine supplementation to reduce the morbidity associated with sepsis, as-phyxia and catabolic state by altering energy balance, in addition to limiting catabo-lism in critically ill children and neonates. Energy balance would be calculated by measurements of energy expenditure using indirect calorimetry. ;Secondary Objective: The secondary aim of the study is to investigate the effect of intravenous lipids on-immunologic functions in catabolic infants. ;Primary end point(s): Therefore, the provision of nutritional and metabolic support has become essential in the care for critically ill and catabolic patients. A number of reports showed that inadequate provision of nutrients is associated with increased physiologic instability and increased care of severe ill patients (Hasselmann M 2004, Mackenzie SL 2005). Changes of energy metabolism and morbidity in critically ill children treated with lipid emulsions and carnitine are the end points of the study. | — |
Countries
Germany