Septic Shock, Severe Sepsis
Conditions
Keywords
sepsis, cerebrovascular autoregulation, delirium
Brief summary
The cerebrovascular autoregulation is impaired in patients with severe sepsis and septic shock. A continuous veno-venous hemodialysis may improve impaired cerebrovascular autoregulation. Hypothesis: continuous hemodialysis recovers impaired cerebrovascular autoregulation in patients with acute severe sepsis and septic shock.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* severe sepsis or septic shock * adult patients * possibility of transcranial Doppler ultrasound
Exclusion criteria
* traumatic brain injury * known cerebrovascular diseases * Infection of the brain * chronic renal failure * pregnancy
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Cerebrovascular autoregulation | during the first 4 days | Cerebrovascular autoregulation measured daily at the first 4 days of severe sepsis and septic shock |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Delirium | at day 4 | Incidence of Delirium at day 4 after severe sepsis or septic shock |
Countries
Germany