Septic Shock
Conditions
Keywords
continuous haemofiltration, intermittent haemodialysis
Brief summary
The aim of the study was to investigate whether CVVH, in comparison to intermittent haemodialysis (IHD), is able to improve regional perfusion in septic shock patients studied by muscle microdialysis
Detailed description
A prospective, randomized, clinical study ,including septic shock patients with acute renal failure, aged over 16 years. Patients were randomized to receive either CVVH or IHD for renal replacement therapy. Intermittent haemodialysis was carried out during the first 4 h at day 1 and day 2 of the study period. Systemic haemodynamics and interstitial tissue concentrations of lactate, pyruvate, glucose and glycerol were obtained at baseline, 6, 12,18 and 24 hours after initiation of renal replacement by using muscle microdialysis.
Interventions
Systemic haemodynamics and interstitial tissue concentrations of lactate, pyruvate, glucose and glycerol were obtained at baseline, 6, 12,18 and 24 hours after initiation of renal replacement by using muscle microdialysis.
Sponsors
Study design
Eligibility
Inclusion criteria
* septic shock
Exclusion criteria
\-
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| changes in the concentration of glucose (mmol/l) in the extracellular fluid of the skeletal muscle using a microdialysis probe inserted into the quadriceps femoris muscle. | at baseline, 6, 12, 18, 24, 30, 36, 42 and 48 hours after initiation of renal replacement |
| changes in the concentration of lactate (mmol/l) in the extracellular fluid of the skeletal muscle using a microdialysis probe inserted into the quadriceps femoris muscle | at baseline, 6, 12, 18, 24, 30, 36, 42 and 48 hours after initiation of renal replacement |
| changes in the concentration of pyruvate (µmol/l) in the extracellular fluid of the skeletal muscle using a microdialysis probe inserted into the quadriceps femoris muscle | at baseline, 6, 12, 18, 24, 30, 36, 42 and 48 hours after initiation of renal replacement |
| changes in the concentration of glycerol (µmol/l) in the extracellular fluid of the skeletal muscle using a microdialysis probe inserted into the quadriceps femoris muscle | at baseline, 6, 12,18, 24, 30, 36, 42 and 48 hours after initiation of renal replacement |
Secondary
| Measure | Time frame |
|---|---|
| changes in heart rate | at baseline, 6, 12, 18, 24, 30, 36, 42 and 48 hours after initiation of renal replacement |
| changes in vasopressor support doses | at baseline, 6, 12, 18, 24, 30, 36, 42 and 48 hours after initiation of renal replacement |
| changes in mean arterial blood pressure | at baseline, 6, 12, 18, 24, 30, 36, 42 and 48 hours after initiation of renal replacement |
Countries
Tunisia