circulatory failure shock
Conditions
Interventions
None listed
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: newborns admitted to the NICU of the University Medical Center Groningen at risk of circulatory failure due to patent ductus arteriosus, clinical sepsis or acyanotic congenital heart disease. Risk of circulatory failure will be defined as at least two of the following events: hypotension (20% above baseline in rest), compromised perfusion (capillary refill > 3 seconds or
Exclusion criteria
Exclusion criteria: chromosomal abnormalities
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Primary endpoints: - Cerebral tissue oxygenation as measured with NIRS: o Cerebral rSO2 and FTOE - Mean blood pressure (MABP) as measured with an arterial catheter | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary endpoints: - Somatic tissue oxygenation as measured with NIRS: o Abdominal rSO2 and FTOE o Renal rSO2 and FTOE - Clinical hemodynamic factors: o heart rate o urinary output o capillary refill - Biochemical hemodynamic factors: o serum lactate o base excess - effect of treatment (volume expansion and/or inotropics) on: o cerebral, abdominal and renal rSO2 and FTOE o MABP - Somatic outcome o Liver function: ASAT/ALAT/LDH/bilirubine o Kidney function: ureum/creatinine - Neurologic outcome: o Will be defined in an extra amendment in the future | — |
Countries
Netherlands