Unique ID issued by UMIN | UMIN000037052 |
---|---|
Receipt number | R000042178 |
Scientific Title | verify the effect of blood purification in septic shock |
Date of disclosure of the study information | 2019/06/16 |
Last modified on | 2023/06/11 20:52:50 |
verify the effect of blood purification in septic shock
blood purification in septic shock
verify the effect of blood purification in septic shock
blood purification in septic shock
Japan |
sepsis
Intensive care medicine |
Others
NO
The purpose is to verify the effect of blood purification therapy for septic shock. For septic shock, supportive care with surgical drainage and catecholamine is the common treatment. However there often happens complications of acute kidney injury, such as hyperkalemia or metabolic acidosis and blood purification therapy (RRT: renal replacement therapy) is often required. We have experienced many cases that showed improvement in general condition after RRT introduction, but when and how to initiate RRT is not clarified yet. A treatment protocol was developed for septic shock after gastrointestinal surgery. In order to remove inflammatory cytokines and anti-inflammatory cytokines, it was decided to use HDF (hemodiafiltration). We will evaluate whether the prognosis will be better compared to the predicted mortality rate by APACHE (acute physiology and chronic health evaluation) II score.
Efficacy
90-day mortality
28-day mortality, 180-day mortality, SOFA score
Observational
Not applicable |
Not applicable |
Male and Female
1. postoperative abdominal surgery
2. Patients with septic shock who require noradrenaline at least 0.1 mcg/kg/min
3. Patients diagnosed with AKI according to KDIGO diagnostic criteria
1. Patients with end-stage renal failure
2. Patients with obstructed urinary tract
3. Patients who have a history of emergency dialysis
4. Patients already undergoing renal replacement therapy
5. Patients for whom " do not attempt resuscitation " has been acquired
6. Patients judged to be inappropriate for this study
50
1st name | Tatsuro |
Middle name | |
Last name | Yokoyama |
Ogaki Municipal Hospital
Anesthesiology
503-8502
4-86, Minaminokawa, Ogaki, Gifu, Japan
0584-81-3341
tyinnagoyauniversity@gmail.com
1st name | Tatsuro |
Middle name | |
Last name | Yokoyama |
Ogaki Municipal Hospital
Anesthesiology
503-8502
4-86, Minaminokawa, Ogaki, Gifu, Japan
0584-81-3341
tyinnagoyauniversity@gmail.com
Ogaki Municipal Hospital
none
Other
Ogaki Municipal Hospital
4-86, Minaminokawa, Ogaki, Gifu, Japan
0584-81-3341
clinical-trial@omh.ogaki.gifu.jp
NO
2019 | Year | 06 | Month | 16 | Day |
Unpublished
Terminated
2019 | Year | 05 | Month | 08 | Day |
2019 | Year | 05 | Month | 23 | Day |
2019 | Year | 05 | Month | 28 | Day |
2024 | Year | 03 | Month | 31 | Day |
Blood purification therapy is performed with high volume HDF (Qb 150 mL/min, Qd 300 mL/min, Qf 1000 mL/h, dewatering 0 mL/h) for 10 hours, and then CHDF with AN69ST membrane ( Qb 100 mL / min, Qd 300 mL / min, Qf 600 mL / h).
2019 | Year | 06 | Month | 13 | Day |
2023 | Year | 06 | Month | 11 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000042178