About this trial
Observational study including septic shock patients within 24 hours of ICU admission, monitored with a cardiac output estimation system, with ongoing resuscitation. Hemodynamic and metabolic parameters before and after a fluid challenge (FC) will be measured.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
None
Disqualifiers
Age under 18 years old
Uncontrolled hemodynamic instability, defined as the need for significant changes in vasopressor support (> 10% from baseline dose) within the 15-minute period prior to, and/or during the administration of fluids.
Patients receiving continuous renal replacement therapies, since the CO values obtained from the thermodilution techniques might be potentially affected.
Trial population
Septic shock patients within the first 24 hours of ICU admission, and selected by the attending physician for performing a fluid challenge (FC) due to suspected tissue hypoperfusion.
Trial design
Cohort
Prospective
Treatments tested in this trial
Fluid challenge
Other interventionRapid infusion (\< 15 minutes) of a fluid bolus of crystalloids (200 to 500cc)
Treatment groups
Trial outcomes
Primary outcomes
VO2-response
Percentage increase in VO2 as results of the fluid challenge
Secondary outcomes
Organ failure
Assessment of the SOFA score at day 1, 2 and 4
Mortality
Mortality within the first 28 days
Sponsors and contacts
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