Ignite Creation Date:
2024-05-05 @ 8:02 PM
Last Modification Date:
2024-10-26 @ 9:58 AM
Study NCT ID:
NCT00799916
Status:
COMPLETED
Last Update Posted:
2009-09-15
First Post:
2008-11-28
Brief Title:
Saline Solution Versus Voluven A Controlled Study of Fluid Resuscitation in Severe Sepsis
Sponsor:
Universidad Nacional de La Plata
Organization:
Universidad Nacional de La Plata
Study Overview
Official Title:
Saline Solution Versus Voluven A Controlled Study of Fluid Resuscitation in Severe Sepsis
Status:
COMPLETED
Status Verified Date:
2009-09
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
Fluid resuscitation of severe sepsis may consist of natural or artificial colloids or crystalloids There is no evidence-based support for one type of fluid over another
The investigators hypothesis is that fluid resuscitation with Voluven is advantageous to normal saline solution to improve sublingual microcirculation
The investigators hypothesis is that fluid resuscitation with Voluven is advantageous to normal saline solution to improve sublingual microcirculation
Detailed Description:
Shock is the failure of circulatory system to maintain adequate cellular perfusion Septic shock is primarily a form of distributive shock and is characterized by ineffective tissue oxygen delivery and extraction associated with inappropriate peripheral vasodilation despite preserved or increased cardiac output In sepsis a complex interaction between pathologic vasodilation relative and absolute hypovolemia myocardial dysfunction and altered blood flow distribution occurs due to the inflammatory response to infection Even after the restoration of intravascular volume microcirculatory abnormalities may persist and lead to maldistribution of cardiac output
Notwithstanding the complexity of its pathophysiology and treatment to maintain adequate organ perfusion is a main goal in the management of severe sepsis and septic shock For this purpose optimization of intravascular volume and preload is the more important step Fluid challenge is a term used to describe the initial volume expansion period in which the response of the patient to fluid administration is carefully evaluated During this process large amounts of fluids may be administered over a short period of time under close monitoring to evaluate the patients response and avoid the development of pulmonary edema Fluid challenge should be given in all patients suspected of hypovolemia Fluid resuscitation may consist of natural or artificial colloids or crystalloids There is no evidence-based support for one type of fluid over another As the volume of distribution is much larger for crystalloids than for colloids resuscitation with crystalloids requires more fluid to achieve the same end points and might result in more edema In addition post-hoc analysis and experimental studies suggest that colloids might be superior to crystalloids in terms of physiologic end-points recruitment of the microcirculation and mortality
Notwithstanding the complexity of its pathophysiology and treatment to maintain adequate organ perfusion is a main goal in the management of severe sepsis and septic shock For this purpose optimization of intravascular volume and preload is the more important step Fluid challenge is a term used to describe the initial volume expansion period in which the response of the patient to fluid administration is carefully evaluated During this process large amounts of fluids may be administered over a short period of time under close monitoring to evaluate the patients response and avoid the development of pulmonary edema Fluid challenge should be given in all patients suspected of hypovolemia Fluid resuscitation may consist of natural or artificial colloids or crystalloids There is no evidence-based support for one type of fluid over another As the volume of distribution is much larger for crystalloids than for colloids resuscitation with crystalloids requires more fluid to achieve the same end points and might result in more edema In addition post-hoc analysis and experimental studies suggest that colloids might be superior to crystalloids in terms of physiologic end-points recruitment of the microcirculation and mortality
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
None
Is a FDA Regulated Device?:
None
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None