Sepsis and severe sepsis MedDRA version: 12.1 Level: LLT Classification code 10040047 Term: Sepsis
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: - presence of sepsis due to an assumed or assured infection with a systemic inflammatory response syndrome (SIRS) - Male or female patients older than 18 years - written informed consent 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: - known allergy against local anesthetics - known pregnancy - patients with multi-organ failure - terminal multiorgan failure or therapeutic limitations - chronic renal failure with anuria or renal replacement therapy - liver failure with MELD-Score >= 30 - myocardial infarction within the last three months - congestive heart failure (EF<35%) - cardiac arrythmia including sick-sinus syndrom, atriventricular block grade II and III - cardiac shock
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: To evaluate the effects of systemic low-dose lidocaine on rolling velocity of human neutrophils in whole blood on ICAM-1 upon E-selectin engagement 6 hours after start of intervention in septic patients.;Secondary Objective: - gastrointestinal function - renal function - pulmonary function - liver function - cardiovasculary function - length of ICU stay - mortality on day 28 - inflammatory parameters including CRP and Procalciton - function of neutrophils (superoxide production, leukocyte adhesion, leucoyte transmigration);Primary end point(s): The primary variable is defined as the rolling velocity of neutrophils on E-Selectin and ICAM-1 after 6 hours of start of intervention | — |
Countries
Germany