Septic Shock
Conditions
Keywords
dexmedetomidine, microcirculation, septic shock
Brief summary
The investigators preliminary study showed that dexmedetomidine might improve microcirculation in septic shock patients. To test this effect, the investigators will conduct double-blinded study.
Detailed description
Dexmedetomidine is a highly selective α2-adrenoreceptor agonist for sedation of adult critically ill patients which exhibits sedative and analgesic effects. Recent studies suggest that dexmedetomidine to restore adrenergic vasoconstrictor responsiveness in septic shock, and prevents alterations of pain rat model intestinal microcirculation Induced by surgical stress,even it can reduce the mortality of endotoxemic rats and patients with severe sepsis. The investigators preliminary study showed that dexmedetomidine might improve microcirculation in septic shock patients. To test this effect, the investigators will conduct double-blinded study.
Interventions
The effect of dex and placebo for sedation on microcirculation
Sponsors
Study design
Eligibility
Inclusion criteria
* Septic shock patients despite early goal directed therapy * Agree to participate this study
Exclusion criteria
* Age\< 18 * Pregnancy * Bradycardia (HR\<55bpm) * Systolic Blood Pressure \< 80 mmHg / Mean arterial pressure \< 50 mmHg on maximal support * Death imminent * Unlikely to survive 90 days * Acute liver failure * Dementia * High-grade block in the absence of a functioning pacemaker.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Microcirculatory function as assessed by Microvascular flow index | 30 minutes | sedation for 30 minutes then monitor the microcirculation |
Countries
China