Mild Therapeutic Hypothermia During Severe Sepsis

This study has been completed.
Sponsor:
Information provided by:
University Hospital, Brest
ClinicalTrials.gov Identifier:
NCT01069146
First received: February 13, 2010
Last updated: February 16, 2010
Last verified: February 2010

February 13, 2010
February 16, 2010
January 2002
January 2005   (final data collection date for primary outcome measure)
feasibility of hypothermia induction during sepsis [ Time Frame: 48 hours ] [ Designated as safety issue: No ]
Same as current
Complete list of historical versions of study NCT01069146 on ClinicalTrials.gov Archive Site
hemodynamic parameters evolution [ Time Frame: 48 hours ] [ Designated as safety issue: No ]
Same as current
Not Provided
Not Provided
 
Mild Therapeutic Hypothermia During Severe Sepsis
Mild Therapeutic Hypothermia During Severe Sepsis

Objectives: to evaluate the feasibility, the safety and the effects on physiological parameters of mild therapeutic hypothermia during septic shock.

Design: a randomized, controlled, pilot physiological study. Setting: a 15-beds university-affiliated intensive care unit of a teaching Hospital.

Patients: twenty ventilated and sedated adults patients with septic shock Intervention: Mild therapeutic hypothermia between 32 and 34°C during 36 consecutive hours using an external water cooling blanket.

Not Provided
Interventional
Not Provided
Allocation: Randomized
Endpoint Classification: Safety/Efficacy Study
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Treatment
Sepsis
Procedure: Mild therapeutic hypothermia induction
Mild Therapeutic hypothermia was induced immediately after patient inclusion. Patients were cooled between 32 and 34°c (33 ± 1°C; 90 and 93°F) for 36 hours, using the automatic mode of an external water cooling blanket (Meditherm II®, Gaymar, Orchard Park, NY, USA). The machine constantly compares actual patient temperature (measured by a rectal probe) with the set point, and automatically adjusts the blanket water temperature so that the desired patient temperature is achieved. The target temperature was to be reached within eight hour following inclusion. Rewarming was only passive (blanket switched off), and paralytic agents were to be stopped when the body temperature reached back 36°C (97°F).
  • Experimental: Mild therapeutic hypothermia
    Sepsis treatment according to standard guidelines plus mild therapeutic hypothermia
    Intervention: Procedure: Mild therapeutic hypothermia induction
  • No Intervention: Control
    Sepsis treatment according to standard guidelines
Not Provided

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Completed
20
January 2005
January 2005   (final data collection date for primary outcome measure)

Inclusion Criteria:

  • age > 18-yrs,
  • sedation and mechanical ventilation for at least 48-hrs,
  • the diagnosis of septic shock according to standard guidelines.

Exclusion Criteria:

  • bradycardia < 50 bpm, or any severe ventricular rhythm disturbances,
  • pregnancy,
  • need for emergent surgery or any other complementary exam involving patient transport within the sixth hours following inclusion,
  • decision to withdraw or withhold life support,
  • predictable death within six hours.
Both
18 Years and older
No
Contact information is only displayed when the study is recruiting subjects
France
 
NCT01069146
Hymosh
Yes
Pr Erwan L'HER, MD, PhD, CHU Brest
University Hospital, Brest
Not Provided
Not Provided
University Hospital, Brest
February 2010

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP