Types of Photoplethysmographic Waves in Adult Patients with Septic Shock
Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age18+
SponsorHospital General de México Dr. Eduardo Liceaga
About this trial
The objective of this study is to identify the types of Photoplethysmographic waves present in adults with septic shock and determine whether these waves correlate with other variables of tissue hypoperfusion such as capillary refil, serum lactate and mottling score.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Adult patients of 18 years of age and above dignossed with septic shock according to the definition stated in Sepsis 3.0
Patients with axillary temperature above 36°C
Patients and/or family that agree to participate in such study and sign the informed consentment
Patients that tolerate supine position
Disqualifiers
Patients with Cardiogenic shock, hipovolemic, obstructive and distributive (neurogenic, anafilactic) shock the exception being septic shock
Patients with history of any type of cardiac arrhythmia
Patients with history of chronic hepatic disease
Patients with limited or diffuse systemic sclerosis
Trial population
All adult patients admitted to the emergency department at "Hospital General de México Dr. Eduardo Liceaga" and meet the criteria for septic shock established in Sepsis 3.0 and have signed the informed consentment will be included in the study.
Trial design
Design model
Other
Time perspective
Prospective
Treatments tested in this trial
Not listed
Trial groups
No trial groups listed
Trial outcomes
Primary outcomes
1
Photoplethysmography wave types in adult patiens with septic shock
The type of Photoplethysmography wave obtained and digitized through the sensor of a conventional pulse oximeter without autoscale. The wave will be classified in type I, II, III, IV, V and VI according to the criteria proposed by Tusman and collaborators
Time frame
After the inclusion of the patient.Secondary outcomes
1
Capillary refill
Mesurement of the time it takes for the ventral surface of the fingers to return to its normal color after being compressed by a transparent microscope slide for 10 seconds. Measured in seconds.
Time frame
After the inclusion of the patient2
Mottling score
Classification regarding the type of mottling surrounding the knee in each patient. The classification is as folllows 0= no mottling, 1= Mottling the size of a coin on the knee, 2= mottling extending just over the superior part of the knee, 3= Mottling covering up to half the thigh, 4= mottling continues to the inguinal fold, 5= severe mottling extending beyond the inguinal area.
Time frame
After the inclusion of the patient3
Serum lactate levels
Mesurement of serum lactate through venous blood gass analysis at hospital admittanace. Mesured in mmol/L
Time frame
After the inclusion of the patient4
Heart rate
Determination of the number of heart beats per minute in patients obtenined with telemetry. Messured in beats per minute
Time frame
After the inclusion of the patientSponsors and contacts
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Source ClinicalTrials.gov