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Mild Therapeutic Hypothermia During Severe Sepsis

This study has been completed.
Sponsor:
ClinicalTrials.gov Identifier:
NCT01069146
First Posted: February 17, 2010
Last Update Posted: February 17, 2010
The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.
Information provided by:
University Hospital, Brest
  Purpose

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.


Condition Intervention
Sepsis Procedure: Mild therapeutic hypothermia induction

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: Mild Therapeutic Hypothermia During Severe Sepsis

Resource links provided by NLM:


Further study details as provided by University Hospital, Brest:

Primary Outcome Measures:
  • feasibility of hypothermia induction during sepsis [ Time Frame: 48 hours ]

Secondary Outcome Measures:
  • hemodynamic parameters evolution [ Time Frame: 48 hours ]

Enrollment: 20
Study Start Date: January 2002
Study Completion Date: January 2005
Primary Completion Date: January 2005 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: Mild therapeutic hypothermia
Sepsis treatment according to standard guidelines plus mild therapeutic hypothermia
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).
No Intervention: Control
Sepsis treatment according to standard guidelines

  Eligibility

Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years and older   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

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.
  Contacts and Locations
Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT01069146


Locations
France
Réanimation Médicale, CHU de la Cavale Blanche
Brest, France, 29609
Sponsors and Collaborators
University Hospital, Brest
  More Information

Responsible Party: Pr Erwan L'HER, MD, PhD, CHU Brest
ClinicalTrials.gov Identifier: NCT01069146     History of Changes
Other Study ID Numbers: Hymosh
First Submitted: February 13, 2010
First Posted: February 17, 2010
Last Update Posted: February 17, 2010
Last Verified: February 2010

Keywords provided by University Hospital, Brest:
sepsis,
septic shock,
therapeutic hypothermia

Additional relevant MeSH terms:
Sepsis
Toxemia
Hypothermia
Infection
Systemic Inflammatory Response Syndrome
Inflammation
Pathologic Processes
Body Temperature Changes
Signs and Symptoms