Early Goal Directed Sedation on Microcirculation in Septic Shock

NCT ID: NCT02612363

Last Updated: 2016-04-20

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

PHASE4

Total Enrollment

25 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-11-30

Study Completion Date

2016-12-31

Brief Summary

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The investigators will conduct a prospective, single-center, randomized, double-blinded, controlled study to investigate the effect of early goal directed sedation on microcirculation in early septic shock patients.

Detailed Description

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Recent studies suggest that early goal directed sedation might improve the outcome of critically ill patients. The investigators will conduct a prospective, single-center, randomized, double-blinded, controlled study to investigate the effect of early goal directed sedation on microcirculation in early septic shock patients with relative stable hemodynamics.

Conditions

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Septic Shock

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Early goal directed sedation group

Dexmedetomidine for sedation in early goal directed sedation group

* Analgesia
* Dexmedetomidine start at 0.7ug/kg/hour
* Dose range: 0.2- 0.7 u/kg/hour
* Supplemental other sedatives at lowest effective dose Target Richmond Agitation-Sedation Scale score of -2 to +1 to achieve sedation goal in EGDS group

Group Type EXPERIMENTAL

Dexmedetomidine for sedation

Intervention Type DRUG

Dexmedetomidine or control drug for sedation

* Analgesia
* Propofol at lowest dosage.
* Dose range: 0.1- 0.7 u/kg/hour
* Target RASS score of -2 to +1
* Supplemental other sedatives at lowest effective dose

Standard sedation

Control drug for sedation in early goal directed sedation group

* Analgesia
* Control drug
* Supplemental other sedatives at lowest effective dose for standard sedation Target Richmond Agitation-Sedation Scale score of -2 to +1 to achieve sedation goal

Group Type PLACEBO_COMPARATOR

Dexmedetomidine for sedation

Intervention Type DRUG

Dexmedetomidine or control drug for sedation

* Analgesia
* Propofol at lowest dosage.
* Dose range: 0.1- 0.7 u/kg/hour
* Target RASS score of -2 to +1
* Supplemental other sedatives at lowest effective dose

Interventions

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Dexmedetomidine for sedation

Dexmedetomidine or control drug for sedation

* Analgesia
* Propofol at lowest dosage.
* Dose range: 0.1- 0.7 u/kg/hour
* Target RASS score of -2 to +1
* Supplemental other sedatives at lowest effective dose

Intervention Type DRUG

Other Intervention Names

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Control drug for sedation

Eligibility Criteria

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Inclusion Criteria

* Septic shock patients despite early goal directed therapy
* Required sedation

Exclusion Criteria

* Age\< 18
* Pregnancy
* Bradycardia (HR\<55bpm)
* Systolic blood pressure \< 80 mmHg / mean arterial pressure \< 50 mmHg on maximal support
* Death imminent
* Unlikely to survive 90 days
* Acute liver failure
* Dementia
* High-grade block in the absence of a functioning pacemaker.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Southeast University, China

OTHER

Sponsor Role lead

Responsible Party

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Jingyuan,Xu

Principal investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Yi Yang, Ph.D.

Role: PRINCIPAL_INVESTIGATOR

Southeast University

Locations

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Zhongda Hospital Southeast University

Nanjing, Jiangsu, China

Site Status RECRUITING

Countries

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China

Central Contacts

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Jingyuan Xu, M.D.

Role: CONTACT

0086-025-83262550

Facility Contacts

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Jingyuan Xu, M.D.

Role: primary

862586232550

Other Identifiers

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2015ZDSYLL016.0

Identifier Type: -

Identifier Source: org_study_id

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