Sepsis, Acute Kidney Injury, Septic Shock, Sepsis, Severe
Conditions
Keywords
sepsis, intensive care unit, acetated Ringer's solution, AKI, normal saline, prognosis, continuous renal replacement therapy
Brief summary
In this prospective randomized controlled trial, investigators attempt to study the effects of acetated Ringer's solution on the prognosis and renal function of patients with sepsis in intensive care unit compared with normal saline, and provide evidence for current fluid resuscitation strategies for sepsis.
Detailed description
During the study period,either normal saline or acetated Ringer's solution will be assigned as resuscitation fluid to the septic patients meeting the inclusion criteria.It is anticipated that about 500 patients will be enrolled during the study period.
Interventions
we use 0.9% saline in ICU patients with sepsis for resuscitation fluid.
we use balanced balanced crystalloids in ICU patients with sepsis for resuscitation fluid.
Sponsors
Study design
Intervention model description
One model using normal saline for resuscitation fluid,the other using acetated Ringer's solution
Eligibility
Inclusion criteria
* Patients diagnosed sepsis aged 18\ 75 and accepted therapy in ICU
Exclusion criteria
* Need of Renal replacement treatment * End-stage renal failure * pregnant woman
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Development of kidney injury as defined by the KDIGO criteria. | 5 days after the admission | Investigators will use the level of creatinine(μmol/L) and body weight adjusted urine(ml/h/kg) for severity assessment of kidney injury |
| Need of renal replacement treatment | After the admission and before the discharge from ICU,average 15 days | Investigators will assess patients' kidney function everyday |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| ICU stay | After the admission and before the discharge from ICU,average 15 days | the time of patients' requirement for critical care |
| 28 days mortality | 28 days after the admission in ICU | the short time mortality |
Countries
China