Critical Illness
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: All admissions to intensive care less than 24 hours from admission with an illness severity APACHE II score >10. Aged >18 years Willing to consent or with consent given by relative or legal representative Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range
Exclusion criteria
Exclusion criteria: Coagulopathy, defined as 1. INR>1.5 2. Platelet count <100 Bleeding disorder Hepatic impairment defined as a total billrubin concentration of more than 45 micromol/l or a more than 5 fold increase of Alanin amino transferase (ALT) above normal. <18 years of age Unwilling to consent or consent withheld by relative or legal representative Pregnancy Expected to be discharged within 48 hours from admission as judged by the Consultant in charge at the day of screening Expected to die within 48 hours from admission as judged by the Consultant in charge at the day of screening Malignant disease if not surgically resected Unable to perform biopsy on clinical grounds On total parenteral nutrition as it contains Glutamine
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: Change in Heat Shock Protein concentration in serum and muscle after Glutamine administation. Change of glutamine concentration in serum and muscle after Glutamine substitution.;Secondary Objective: Effect on Hospital Mortality. Effect on the length of stay in Intensive Care. Effect on the time spent on a Ventilator. Effect on the numbers of infections while on Intensive Care and in hospital.;Primary end point(s): Change in HSP concentration in serum and muscle between both groups. Change of glutamine concentration in serum and muscle between both groups. Are the observed effects influenced by age. | — |
Countries
United Kingdom