Sepsis, Viral Pneumonia
Conditions
Keywords
microcirculation, endothelial glycocalyx, COVID-19
Brief summary
This prospective observational pilot study investigates circulatory coherence in patients with COVID and non-COVID sepsis by comparison of microcirculation, endothelial glycocalyx, and clinical course
Detailed description
This prospective observational pilot study investigates circulatory coherence in patients with COVID and non-COVID sepsis by comparison of microcirculation (sublingual area video recordings and biochemical parameters of endothelial cells activation and damage) endothelial glycocalyx (sublingual area video recordings and biochemical parameter of glycocalyx degradation), and clinical course.
Interventions
non-invasive recording of sublingual microcirculation and blood sampling together with regular withdraws
Sponsors
Study design
Eligibility
Inclusion criteria
* adult * ICU admission due to sepsis with organ failure * need for organ support therapy (mechanical ventilation, CRRT, ECMO) * clinical and/or laboratory signs of circulatory instability
Exclusion criteria
* family withdrawal/disagreement * death within three days from ICU admission
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| change in Proportion of Perfused Vessels (PPV) parameter | 1st, 2nd and 3rd day | PPV describes microcirculation dysfunction |
| change in Syndecan-1 serum concentration | 1st, 2nd and 3rd day | Syndecan-1 is a marker of endothelial glycocalyx |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| change in albuminuria | 1st, 2nd and 3rd day | albuminuria is a marker of glomerular endothelial cells dysfunction |
| mortality in 28 days | 30 days | mortality in 28 days from ICU admission |
Countries
Czechia