Emergency Department Management of Sepsis Patients: A Goal-Oriented Non-Invasive Sepsis Trial
NCT01453270 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 122
Last updated 2014-09-25
Summary
The purpose of this study is to determine whether the use of a 3-hour protocol utilizing non-invasive hemodynamic optimization treatment strategy results in better outcome and lower hospital costs in patients who present with severe bloodstream infections to the Emergency Department (ED).
Conditions
- Sepsis
- Shock, Septic
Interventions
- DEVICE
-
NICOM
Assessment of fluid responsiveness will be done using the non-invasive cardiac output monitor (NICOM) and passive leg-raising (PLR) maneuver to target mean arterial pressure of between 65mmHg and 90mmHg; and change in stroke volume index (SVI) less than 10%, prior to administration of fluid boluses.
- OTHER
-
Usual care
Usual care is given at the clinician's discretion in accordance with current best practice. Standard treatment may involve treatment with intravenous fluids, and medications to support the blood pressure and heart.
Sponsors & Collaborators
-
Singapore Clinical Research Institute
collaborator OTHER -
National University Hospital, Singapore
lead OTHER
Principal Investigators
-
Win Sen Kuan, MBBS · National University Health System, Singapore
-
Irwani Ibrahim, MBBS · National University Health System, Singapore
-
Benjamin SH Leong, MBBS · National University Health System, Singapore
-
Malcolm Mahadevan, MBBS · National University Health System, Singapore
-
Yin Bun Cheung, PhD · Duke-NUS Graduate Medical School
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 21 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2011-11-30
- Primary Completion
- 2014-03-31
- Completion
- 2014-03-31
Countries
- Singapore
Study Locations
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