Critical illness Delta temperature greater than 6.0 °C
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: - DeltaTemperature greater than 6.0 °C. - Age 18 years or older - Admitted to the ICU for any reason - Written informed consent from the patient 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 40 F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range 80
Exclusion criteria
Exclusion criteria: - Pregnancy - No possibility to obtain informed consent - QTc above 550 msec, - Arrhythmias, including bradycardia defined as a heart rate below 50/min; 2nd and 3rd degree AV block; ventricular tachycardia - Blood Potassium level < 3.5 mmol/l - Blood Magnesium level <0.5 mmol/l - Allergy for ketanserin - DeltaTemperature less than 6°C. - Patients undergoing therapeutic hypothermia - Patients admitted after cardiac arrest - Patients admitted after cardiac surgery
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Primary end point(s): Change in DeltaTemperature (measured per hour);Timepoint(s) of evaluation of this end point: Temperature measurements Time=0 hour (start infusion IMP or placebo) T= 1 hour (after start infusion), T= 2 hour, T= 3 hour, T=4 hour, T= 5 hour, T= 6 hour, T= 7 hour, T= 8 hour (stop infusion IMP or placebo);Main Objective: To determine the effects of a continuous ketanserin infusion on peripheral temperature and lactate clearance in critically ill patients with either a high lactate or a high deltaTemperature.;Secondary Objective: Change in lactate (measured per 2 hours) | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): -Change in lactate (measured per 2 hour) -To determine ketanserin serum levels in retrospect. ;Timepoint(s) of evaluation of this end point: - To calculate lactate clearance every two hours a 2 ml arterial blood sample for lactate measurement will be collected and sent for immediate analysis : T=0 hour (start infusion IMP or placebo) , T= 2 hour, T=4 hour, T= 6 hour, T= 8 hour (stop infusion IMP or placebo) - At T=4 hr and T=8 hr a 6 ml blood sample will be drawn to determine ketanserin serum levels in retrospect. | — |
Countries
Netherlands
Contacts
OLVG