septic shock. Sepsis, unspecified organism
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: septic shock receiving vasopressor despite adequate fluid therapy Heart rate above 100 beats per minute for no apparent reason (such as fever, agitation, pain, anemia, and hypovolemia that should be treated before starting medication and hemodynamic tests) Cardiac index above 2.5 liters / minute per square meter Absence of arrhythmia
Exclusion criteria
Exclusion criteria: treatment with beta-blocker or amiodarone in the last 48 hours Patient with heart valve problems Pregnancy Pulmonary fibrosis Hypo / Hyperthyroidism Known pulmonary hypertension History of amiodarone intolerance Post CPR conditions Aortic aneurysm ARDS with PaO2 / FiO2 less than 150
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Stroke volume index. Timepoint: 0,6,12,24 hour after adminstration. Method of measurement: uscom.;Cardiac output index. Timepoint: 0 612 24 hours after adminstration. Method of measurement: uscom.;Heart rate. Timepoint: 0 6 12 24 hours after adminstration. Method of measurement: heart rate monitoring device.;Vascular resistance. Timepoint: 0, 6 12 24 after adminstration. Method of measurement: uscom.;Acid lactic. Timepoint: baseline and 24hours after administration. Method of measurement: laboratory analysis.;Mean arterial pressure. Timepoint: 0, 6 12 24 after adminstration. Method of measurement: monitoring device.;Vasopressor intake rate. Timepoint: 0, 6 12 24 after adminstration. Method of measurement: View Cardex.;The amount of fluid received. Timepoint: baseline and 24hours after administration. Method of measurement: View Cardex. | — |
Countries
Iran (Islamic Republic of)
Contacts
Tehran University of Medical Sciences